Doctor Name: | MRS. AMBER ELIZABETH FRIIS |
NPI Number: | 1033411525 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RCSWI |
License Number: | |
Business Practice Address: | 1818 Cecil Webb Pl Live Oak, FL - 320609207 |
Business Phone Number: | 3868425555 |
Business Fax Number: | |
Mailing Address: | Po Box 2000, BOYS RANCH |
State: | FL |
Postal Code: | 320641550 |
Phone Number: | 3868425555 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2010 |
NPI Last Update Date: | 12/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |