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NPI Code Detail

MEDICARE: CAMMY FRAZIER LISW-S

MEDICARE: CAMMY FRAZIER LISW-S
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 WorkerI.1901812OH

General Provider Information

NPI Number : 1154965135
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMMY FRAZIER LISW-S
Provider Business Mailing Address
First Line : 16149 OH-104
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601
Country : US
Telephone Number : 740-774-7050
Fax Number :
Provider Business Practice Location Address
First Line : 1703 N MEMORIAL DR
Second Line :
City : LANCASTER
State : OH
Zip : 43130-1634
Country : US
Telephone Number : 614-636-5317
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2019
Last Update Date : 08/07/2023

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Directions to “ CAMMY FRAZIER LISW-S” Practice Location

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