| Lds Family Services Az Snowflake | |
|
641 S Main St Snowflake AZ 85937-5595 | |
| (928) 536-4117 | |
| (928) 536-4117 |
| Full Name | Lds Family Services Az Snowflake |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 641 S Main St, Snowflake, Arizona |
| Authorized Official Name and Position | Christopher a Frazier (DIRECTOR) |
| Authorized Official Contact | 9285364117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lds Family Services Az Snowflake Po Box 856 Snowflake AZ 85937-0856 Ph: (928) 536-4117 | Lds Family Services Az Snowflake 641 S Main St Snowflake AZ 85937-5595 Ph: (928) 536-4117 |
| NPI Number | 1063630788 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 04/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063630788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 860970901 (Arizona) | Primary |
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