Provider Demographics
NPI:1164762613
Name:FLOWERS, CHRISTINE EVA (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:EVA
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 W 100TH ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-2409
Mailing Address - Country:US
Mailing Address - Phone:952-240-0899
Mailing Address - Fax:
Practice Address - Street 1:4201 W 100TH ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-2409
Practice Address - Country:US
Practice Address - Phone:952-240-0899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN204101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical