Individual
HALLIE MARIE FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5111 AUTO CLUB DR STE 112B, DEARBORN, MI 48126-2684
(248) 536-5085
(248) 475-6403
Mailing address
15679 CHURCHILL ST, SOUTHGATE, MI 48195-3290
(734) 624-2951
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/28/2025
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