Individual
FREDERICK MARK FRAIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LAC
Contact information
Practice address
7500 COCHRANE CIR., FORT CARSON, CO 80913
(719) 526-8410
(719) 526-0608
Mailing address
1612 4TH ST, COLORADO SPRINGS, CO 80907-5771
(719) 630-0447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992094
CO
Other
Enumeration date
02/13/2006
Last updated
09/18/2013
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