MEDICARE: DEBORAH A. FRISCO 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
1	1041C0700X	Clinical Social Worker	C006367	NC

General Provider Information

NPI Number	:	1710005269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH A. FRISCO LCSW

Provider Business Mailing Address
First Line	:	204 MUIRS CHAPEL RD
Second Line	:	SUITE 101
City	:	GREENSBORO
State	:	NC
Zip	:	27410-6173
Country	:	US
Telephone Number	:	336-601-7875
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 MUIRS CHAPEL RD
Second Line	:	SUITE 101
City	:	GREENSBORO
State	:	NC
Zip	:	27410-6173
Country	:	US
Telephone Number	:	336-601-7875
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	08/20/2013

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