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NPI Profile for SAMUEL K FRANGENBERG in PARAGOULD, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1295989945 |
|
| Status | Active | |
| Credentials | LAC | |
| Entity | Individual | |
| Enumeration date | 11/07/2008 | |
| Last updated | 05/24/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SAMUEL K FRANGENBERG
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SAMUEL K FRANGENBERG, LAC