Individual
MRS. DEIRDRE FORD-FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 HIGHWOODS BLVD, RALEIGH, NC 27604-1027
(919) 714-7500
Mailing address
3000 HIGHWOODS BLVD, RALEIGH, NC 27604-1027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-25934
NC
1041C0700X
Clinical Social Worker
P011902
NC
Other
Enumeration date
08/16/2017
Last updated
03/10/2020
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