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General NPI Number Information
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NPI Number | 1053937862
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Entity Type | Individual
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Provider Name | KATHERINE RACHAEL FRASIER LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/18/2020
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 702 W LAKE LANSING RD
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City | EAST LANSING
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State | MI
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Zip | 48823-8526
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Country | US
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Telephone | 517-332-5342
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Fax | 517-316-2893
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Provider Business Mailing Address
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Address Line | 4060 SPRINGER WAY APT 717
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City | EAST LANSING
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State | MI
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Zip | 48823-8333
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Country | US
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Telephone | 517-488-8676
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801115023
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License Number State | MI
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