Individual
KIRSTEN ROSE FRAIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-P; MSW U/S
Contact information
Practice address
1115 HARBOR ROAD, GROVE, OK 74344-3505
(918) 804-3238
Mailing address
1115 HARBOR ROAD, GROVE, OK 74344-3505
(918) 804-3238
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8084-P
OK
Other
Enumeration date
08/19/2019
Last updated
09/14/2021
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