Individual
MR. CARL LAWRENCE FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 494-5447
Mailing address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 494-5447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801094552
MI
Other
Enumeration date
08/29/2012
Last updated
10/05/2015
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