Individual
MS. BERNICE OLIVE FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
4810 AVE J, BROOKLYN, NY 11234
(347) 713-2814
(718) 258-4468
Mailing address
4810 AVE J, BROOKLYN, NY 11234
(347) 713-2814
(718) 245-4468
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R038373
NY
Other
Enumeration date
01/30/2009
Last updated
07/12/2011
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