Individual
FRED H ELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
211 E THIRD ST, WINSLOW, AZ 86047-3802
(928) 289-4658
(928) 289-3775
Mailing address
105 N 5TH AVE, HOLBROOK, AZ 86025-2817
(928) 524-6701
(928) 524-3068
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW3569
AZ
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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