MEDICARE: CARI FRAZEE

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		MI

General Provider Information

NPI Number	:	1760264006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARI FRAZEE

Provider Business Mailing Address
First Line	:	5830 ANNAPOLIS DR
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48911-5005
Country	:	US
Telephone Number	:	517-410-8271
Fax Number	:

Provider Business Practice Location Address
First Line	:	1151 MICHIGAN AVE STE 109
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48823-4070
Country	:	US
Telephone Number	:	517-410-8271
Fax Number	:

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

Provider Enumeration Date	:	10/20/2023
Last Update Date	:	10/20/2023

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Directions to “ CARI FRAZEE ” Practice Location

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