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Tailer Anne Frazier

Peer Specialist in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1083201230
StatusActive
Last updated in NPPESDec 22, 2020

Details

NPI
1083201230
Entity type
Individual (NPI-1)
Name
Tailer Anne Frazier
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 22, 2020
Certification date
Dec 22, 2020
Last updated
Dec 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

230 W 200 S # 142
Salt Lake City, UT 84101-1337

Phone 801-433-2595

Mailing address

230 W 200 S # 142
Salt Lake City, UT 84101-1337

Phone 801-433-2595

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