Provider Demographics
NPI:1962388967
Name:KLIEWER-DOW, FRIEDA SUE (MBS)
Entity type:Individual
Prefix:
First Name:FRIEDA
Middle Name:SUE
Last Name:KLIEWER-DOW
Suffix:
Gender:F
Credentials:MBS
Other - Prefix:
Other - First Name:BRANDON
Other - Middle Name:SUE
Other - Last Name:KLIEWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBS
Mailing Address - Street 1:414 S 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:OK
Mailing Address - Zip Code:73737-2325
Mailing Address - Country:US
Mailing Address - Phone:580-554-7390
Mailing Address - Fax:580-233-6403
Practice Address - Street 1:414 S 5TH AVE
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:OK
Practice Address - Zip Code:73737-2325
Practice Address - Country:US
Practice Address - Phone:580-554-7390
Practice Address - Fax:580-233-6403
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health