Individual
CANDACE FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 530-5682
Mailing address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 530-5682
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH20673
FL
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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