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Individual
MARK DAVID FRALICK
Active
Individual
MARK DAVID FRALICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13521
MA
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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