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Individual

MAE ENNIS FRAWLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
940 W KING RD, MALVERN, PA 19355-3166
(610) 647-0330
(610) 644-6129
Mailing address
940 W KING RD, MALVERN, PA 19355-3166
(610) 647-0330
(610) 644-6129

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP029645
PA

Other

Enumeration date
04/23/2024
Last updated
06/25/2024
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