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NPI Code Detail

MEDICARE: FRANCES IRIS DAOF FISK LMFT

MEDICARE: FRANCES IRIS DAOF FISK LMFT
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
1106H00000XMarriage & Family Therapist99919CA

General Provider Information

NPI Number : 1689199457
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES IRIS DAOF FISK LMFT
Provider Business Mailing Address
First Line : 1115 W SUNSET BLVD APT 503
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-3976
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2115 BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-2203
Country : US
Telephone Number : 323-938-3434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2017
Last Update Date : 03/17/2018

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Directions to “ FRANCES IRIS DAOF FISK LMFT” Practice Location

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