Individual
MS. DEBORAH HALE FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 PRESTON AVE, CHARLOTTESVILLE, VA 22903-4420
(434) 972-1800
(434) 220-0188
Mailing address
1035 WEYBRIDGE CT APT 301, CHARLOTTESVILLE, VA 22911-4614
(434) 070-1390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005622
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VPHP4945018
—
VA
Enumeration date
09/25/2006
Last updated
07/08/2007
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