Individual
KELLEY FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
326 MYRTLE CROSSING DR STE 200, STATESBORO, GA 30458-4689
(239) 560-5473
Mailing address
115 WINNIE WAY, BROOKLET, GA 30415-6269
(239) 560-5473
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT000729
GA
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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