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Carol A Frazier, LICSW, BCD

Social Worker, Clinical in Gallup, NM. Individual provider (NPI-1).

NPI number1902889389
StatusActive
Last updated in NPPESDec 4, 2014

Details

NPI
1902889389
Entity type
Individual (NPI-1)
Name
Ms. Carol A Frazier
Credential
LICSW, BCD
Sex
Female
Sole proprietor
No
Enumeration date
Nov 21, 2005
Last updated
Dec 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLW00005520WAYes

Practice location

513 Williams St Bldg 15
G-Prrtp Va Transition Center
Gallup, NM 87301-4799

Phone 505-722-3761 · Fax 505-722-0723

Mailing address

513 Williams St Bldg 15
G-Prrtp Va Transition Center
Gallup, NM 87301-4799

Phone 505-722-3761 · Fax 505-722-0723

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