Individual
MRS. ELISA FRALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4425 MILITARY TRAIL, SUITE203, JUPITER, FL 33458-4817
(561) 383-8000
(561) 514-1275
Mailing address
4310 METRO PKWY, STE 205, FORT MYERS, FL 33916-9416
(561) 747-2775
(561) 747-1881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW4901
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW4901
STATE LICENSE
FL
Enumeration date
11/29/2006
Last updated
01/28/2022
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