Individual
MS. MARY G FRALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
901 N PINE ST, SUITE 101, ROLLA, MO 65401-3141
(573) 426-2588
Mailing address
901 N PINE ST, SUITE 101, ROLLA, MO 65401-3141
(573) 426-2588
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007012269
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007012269
PROV LICENSE PROF COUNSEL
MO
Enumeration date
05/11/2007
Last updated
07/08/2007
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