Individual
SELENA FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
902 BUCHANAN RD, NEW TAZEWELL, TN, TN 37825
(423) 626-8215
Mailing address
314 WEST VIRGINIA AVE, PINEVILLE, KY 40977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2689
TN
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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