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NPI Code Detail

MEDICARE: CHRISTINE H FRIEDRICH LCS

MEDICARE: CHRISTINE H FRIEDRICH LCS
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 WorkerLCS 23835CA

General Provider Information

NPI Number : 1255531497
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE H FRIEDRICH LCS
Provider Business Mailing Address
First Line : 261 MACMILLAN DR
Second Line :
City : HOPLAND
State : CA
Zip : 95449-9703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 E GOBBI ST
Second Line :
City : UKIAH
State : CA
Zip : 95482-5511
Country : US
Telephone Number : 707-472-2922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2007
Last Update Date : 11/30/2011

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Directions to “ CHRISTINE H FRIEDRICH LCS” Practice Location

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