Individual
MELANIE FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 SHELTON LN, RUSSELLVILLE, KY 42276-7600
(270) 901-5000
(270) 842-5268
Mailing address
433 SHELTON LN, RUSSELLVILLE, KY 42276-7600
(270) 901-5000
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/30/2017
Last updated
07/21/2022
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