Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | CSW003698 | GA |
NPI | 1003038720 |
---|---|
Provider Name | Ms. Barbara Faye Frier |
First Address | Valdosta, GA 31602-2325 |
Second Address | Valdosta, GA 31602-1019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 01/10/2012 |