Provider Demographics
NPI:1972872935
Name:RAABE, DOLLIENE A (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DOLLIENE
Middle Name:A
Last Name:RAABE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DOLLIENE
Other - Middle Name:A
Other - Last Name:ENGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:809 GARONNE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63021
Mailing Address - Country:US
Mailing Address - Phone:636-527-5703
Mailing Address - Fax:
Practice Address - Street 1:8050 WATSON ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119
Practice Address - Country:US
Practice Address - Phone:636-529-0600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0050811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical