Individual
STACEY L JULIAN FRALISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5376 TOMAH DR STE 200, COLORADO SPRINGS, CO 80918-6968
(719) 999-5073
Mailing address
5376 TOMAH DR STE 200, COLORADO SPRINGS, CO 80918-6968
(719) 999-5073
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009922727
CO
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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