Doctor Name: | DOREEN LORRAINE HOLDING EAGLE |
NPI Number: | 1831488832 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 4213 |
Business Practice Address: | 40520 County Highway 34 Ogema, MN - 565699612 |
Business Phone Number: | 2189834300 |
Business Fax Number: | 2189836336 |
Mailing Address: | 40520 County Highway 34, OGEMA |
State: | MN |
Postal Code: | 565699612 |
Phone Number: | 2189834300 |
Fax Number: | 2189836336 |
NPI Enumeration Date: | 03/31/2011 |
NPI Last Update Date: | 03/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 4213 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |