Provider Demographics
NPI:1912068149
Name:FRICK, JULIA K (MSW)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:K
Last Name:FRICK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 MINER ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3122
Mailing Address - Country:US
Mailing Address - Phone:734-665-2397
Mailing Address - Fax:734-665-2397
Practice Address - Street 1:902 MINER ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3122
Practice Address - Country:US
Practice Address - Phone:734-665-2397
Practice Address - Fax:734-665-2397
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010116161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical