MRS. Dorothy Carmelite Enockson SR., LICSW
NPI #1093857351 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1093857351
- Entity Type
- Individual
- Name
- MRS. Dorothy Carmelite Enockson SR., LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4901 JOHNSON AVE
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-2622
- Phone
- (651) 426-6374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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