Individual
MRS. CHRISTINE MARY KLEICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
2265 COMO AVE, SUITE 201, SAINT PAUL, MN 55108-1737
(651) 646-8985
(651) 646-3959
Mailing address
7545 46TH STREET WAY N, OAKDALE, MN 55128-2219
(651) 779-1074
(651) 646-3959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13885
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035T0KL
BCBS
MN
01
—
985341029862
PREFERRED ONE
MN
Enumeration date
03/02/2006
Last updated
07/09/2007
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