Individual
KIMBERLY FRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
527 ILLINOIS AVE, ST CHARLES, IL 60174-3335
(630) 549-6245
Mailing address
527 ILLINOIS AVE, ST CHARLES, IL 60174-3335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/22/2021
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