Individual
DR. KATHERINE MARIBAH FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.H.
Contact information
Practice address
244 MYRTLE ST, SAN FRANCISCO, CA 94109-6838
(415) 921-6760
Mailing address
244 MYRTLE ST, SAN FRANCISCO, CA 94109-6838
(415) 921-6760
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
PSY10868
CA
106H00000X
Marriage & Family Therapist
MFC7616
CA
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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