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NPI Code Detail

MEDICARE: BETH FRIEDMAN

MEDICARE:   BETH  FRIEDMAN
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 WorkerCSW.00002023CO

General Provider Information

NPI Number : 1972984078
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH FRIEDMAN
Provider Business Mailing Address
First Line : 4022 HIGHLANDS WEST DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-5394
Country : US
Telephone Number : 970-556-8624
Fax Number :
Provider Business Practice Location Address
First Line : 4022 HIGHLANDS WEST DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-5394
Country : US
Telephone Number : 970-556-8624
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2015
Last Update Date : 06/15/2015

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Directions to “ BETH FRIEDMAN ” Practice Location

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