Fried, Moreen L
Fried, Moreen L is an individual health care provider with primary practice located at 1919 Lathrop St Ste 220, Fairbanks AK 99701. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fried, Moreen L can be contacted via phone (907) 452-1739.Contact Information
Primary practice address
1919 Lathrop St Ste 220
Fairbanks AK 99701
Phone: (907) 452-1739
Fax: (907) 452-2384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 307 | Alaska |
Profile Details
| NPI number | 1386612604 |
|---|---|
| LBN Legal business name | Fried, Moreen L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386612604 | NPPES |
| Alaska | MEDICAID | MH8832 |
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