Individual
MR. TERRY ALAN FRALICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.P.C.
Contact information
Practice address
129 SMUTTY LN, SACO, ME 04072-9718
(207) 294-3377
(207) 294-3377
Mailing address
129 SMUTTY LN, SACO, ME 04072-9718
(207) 294-3377
(207) 294-3377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1769
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042739
ANTHEM
ME
Enumeration date
04/04/2007
Last updated
07/08/2007
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