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NPI Code Detail

MEDICARE: MISS LINNEA CAMPBELL DUMKE LICSW

MEDICARE:  MISS LINNEA CAMPBELL DUMKE  LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker20513MN

General Provider Information

NPI Number : 1275971731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LINNEA CAMPBELL DUMKE LICSW
Provider Business Mailing Address
First Line : 235 COUNTY ROAD B2 E APT 161
Second Line :
City : SAINT PAUL
State : MN
Zip : 55117-1731
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3764 95TH AVE NE
Second Line :
City : CIRCLE PINES
State : MN
Zip : 55014-3849
Country : US
Telephone Number : 651-415-6218
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2013
Last Update Date : 02/20/2015

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Directions to “ MISS LINNEA CAMPBELL DUMKE LICSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.