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Individual

MS. NANCY FRASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CP 60405117

Contact information

Practice address
120 S. 3RD STREET, YAKIMA, WA 98901
(509) 248-1800
Mailing address
120 S 3RD ST, YAKIMA, WA 98901-2875

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
91-0755984
WA
Enumeration date
10/24/2018
Last updated
10/24/2018
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