Individual
ELLISON NICOLE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 LOVETT DR, GREENVILLE, SC 29607-6510
(803) 490-0960
Mailing address
4 WOODWAY CT, GREER, SC 29651-6836
(864) 423-2562
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP9658SPIN
SC
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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