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NPI Code Detail

MEDICARE: MS. EMILY RYAN FRIIS LCSW

MEDICARE: MS. EMILY RYAN FRIIS LCSW
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 Worker
2171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578071197
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EMILY RYAN FRIIS LCSW
Provider Business Mailing Address
First Line : 4867 HIGHWAY 452
Second Line :
City : MARKSVILLE
State : LA
Zip : 71351-3555
Country : US
Telephone Number : 318-253-4282
Fax Number :
Provider Business Practice Location Address
First Line : 5411 COLISEUM BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3729
Country : US
Telephone Number : 318-484-6850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2018
Last Update Date : 06/27/2023

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