Individual
MISS ALTHEA FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8041 PLAZA DEL LAGO DR, ESTERO, FL 33928-5300
(239) 494-3460
Mailing address
18270 PLUMBAGO CT, LEHIGH ACRES, FL 33972-7528
(239) 826-6427
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SW21965
FL
1041C0700X
Clinical Social Worker
Primary
—
—
163W00000X
Registered Nurse
RN9478233
FL
Other
Enumeration date
07/15/2019
Last updated
09/10/2023
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