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NPI Code Detail

MEDICARE: KARA D FRIZZELL

MEDICARE: KARA D FRIZZELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLW60695573WA

General Provider Information

NPI Number : 1104261817
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA D FRIZZELL
Provider Business Mailing Address
First Line : PO BOX 2429
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-8486
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7700 NE 26TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-0672
Country : US
Telephone Number : 360-397-8228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2013
Last Update Date : 03/17/2018

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Directions to “ KARA D FRIZZELL ” Practice Location

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