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Organization

LDS FAMILY SERVICES

Active
Parent organization
LDS FAMILY SERVICES
Other names
LDS Family Services AZ Snowflake
Organization subpart
Yes

Provider details

NPI number
Legal business name
LDS FAMILY SERVICES
Authorized official
MR. CHRISTOPHER A FRAZIER (DIRECTOR)
(928) 536-4117
Entity
Organization

Contact information

Practice address
641 S MAIN ST, SNOWFLAKE, AZ 85937-5595
(928) 536-4117
(928) 536-4117
Mailing address
PO BOX 856, SNOWFLAKE, AZ 85937-0856
(928) 536-4117
(928) 536-7626

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
860970901
AZ

Other

Enumeration date
04/20/2007
Last updated
04/17/2009
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