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General NPI Number Information
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NPI Number | 1437460615
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Entity Type | Individual
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Provider Name | TRACEY L FRIER LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 1016 MCQUAY AVE
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City | POCAHONTAS
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State | AR
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Zip | 72455
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Country | US
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Telephone | 870-892-9949
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Fax | 870-892-0208
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Provider Business Mailing Address
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Address Line | PO BOX 83
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City | CORNING
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State | AR
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Zip | 72422-0083
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Country | US
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Telephone | 870-857-3334
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Fax | 870-857-9934
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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 | 3996-C
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License Number State | AR
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