Provider Demographics
NPI:1053627455
Name:FLINT, JULIE KRISTIN (MSW, LICSW)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:KRISTIN
Last Name:FLINT
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 W SUPERIOR ST
Mailing Address - Street 2:500 ALWORTH BUILDING
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-1803
Mailing Address - Country:US
Mailing Address - Phone:218-722-6106
Mailing Address - Fax:218-722-8356
Practice Address - Street 1:306 W SUPERIOR ST
Practice Address - Street 2:500 ALWORTH BUILDING
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-1803
Practice Address - Country:US
Practice Address - Phone:218-722-6106
Practice Address - Fax:218-722-8356
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN183911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical