Individual
MR. LARRY FRAZIER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4615 MARY BETH BLVD, CLINTON, MD 20735-9625
(202) 246-1310
Mailing address
4615 MARY BETH BLVD, CLINTON, MD 20735-9625
(202) 246-1310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MD
101YP1600X
Pastoral Counselor
Primary
—
MD
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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