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Individual

RICHARD A FRASIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CACII

Contact information

Practice address
2919 MARY HINES LN, GEORGETOWN, SC 29440-4339
(843) 527-3174
Mailing address
2919 MARY HINES LN, GEORGETOWN, SC 29440-4339
(843) 527-3174

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1206142
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1206142
CACII
SC
Enumeration date
01/29/2013
Last updated
01/29/2013
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