Individual
MR. CODY FRASURE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
SYDNEY AND LAMONT STREETS, MOUNTAIN HOME, TN 37684
(423) 979-2634
Mailing address
151 MOUNTAIN RIDGES DR, JONESBOROUGH, TN 37659-6382
(423) 833-2326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33442
TX
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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