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NPI Code Detail

MEDICARE: KASIE FRAZER LCSW

MEDICARE: KASIE FRAZER 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 WorkerLCSW-16708AZ
21041C0700XClinical Social WorkerCSW.09927649CO
31041C0700XClinical Social WorkerLCS 28641CA

General Provider Information

NPI Number : 1932508538
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASIE FRAZER LCSW
Provider Business Mailing Address
First Line : 11225 HUSTON ST
Second Line : APT 205
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-4473
Country : US
Telephone Number : 310-420-9571
Fax Number :
Provider Business Practice Location Address
First Line : 11225 HUSTON ST
Second Line : APT 205
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-4473
Country : US
Telephone Number : 310-420-9571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2014
Last Update Date : 10/27/2023

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Directions to “ KASIE FRAZER LCSW” Practice Location

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