Individual
BROOKE FRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1200 LOCUST ST, ELDORADO, IL 62930-1723
(618) 252-9036
Mailing address
1315 GENESTA DR, EVANSVILLE, IN 47720-6217
(812) 622-0268
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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