Provider Demographics
NPI:1033411525
Name:FRIIS, AMBER ELIZABETH (RCSWI)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:ELIZABETH
Last Name:FRIIS
Suffix:
Gender:F
Credentials:RCSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2000
Mailing Address - Street 2:
Mailing Address - City:BOYS RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:32064-1550
Mailing Address - Country:US
Mailing Address - Phone:386-842-5555
Mailing Address - Fax:
Practice Address - Street 1:1818 CECIL WEBB PL
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:FL
Practice Address - Zip Code:32060-9207
Practice Address - Country:US
Practice Address - Phone:386-842-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical