Individual
MRS. CAROLEE FRAASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
4363 MAPLETON RD, STARPOINT FRICANO, LOCKPORT, NY 14094
(716) 210-2103
Mailing address
6310 EMILY CT, CLARENCE CENTER, NY 14032-9360
(716) 741-4717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007572
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MOW15UUUU
—
NY
Enumeration date
10/17/2011
Last updated
10/17/2011
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