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General NPI Number Information
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NPI Number | 1790285443
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Entity Type | Individual
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Provider Name | KRISTINA ANGELA FRONRATH LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 41400 DEQUINDRE RD STE 110
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-3751
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Country | US
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Telephone | 586-580-2975
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Fax | 586-580-2954
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Provider Business Mailing Address
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Address Line | 47110 LIBERTY BELL RD E
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City | MACOMB
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State | MI
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Zip | 48044-2573
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Country | US
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Telephone | 862-723-7415
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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 | 6801101735
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License Number State | MI
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