Individual
ARELYS FRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBHCMS
Contact information
Practice address
4238 HOLLYWOOD BLVD STE 202, HOLLYWOOD, FL 33021-6600
(954) 362-4112
Mailing address
4238 HOLLYWOOD BLVD STE 202, HOLLYWOOD, FL 33021-6600
(954) 362-4112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109671500
—
FL
Enumeration date
08/18/2021
Last updated
08/18/2021
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