Provider Demographics
NPI:1053491506
Name:PAPP, CHRISTINE ANNETTE (BSW, LBSW)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ANNETTE
Last Name:PAPP
Suffix:
Gender:F
Credentials:BSW, LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 S BANNER RD
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:MI
Mailing Address - Zip Code:48471-9201
Mailing Address - Country:US
Mailing Address - Phone:810-648-4597
Mailing Address - Fax:
Practice Address - Street 1:95 DAWSON ST
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:MI
Practice Address - Zip Code:48471-3305
Practice Address - Country:US
Practice Address - Phone:810-648-3239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801064968104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker