Individual
IVIE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2502 BLYTHEWOOD CROSSING LANE, APT. 1925, BLYTHEWOOD, SC 29016-2901
(478) 284-6197
Mailing address
2502 BLYTHEWOOD CROSSING LANE, APT. 1925, BLYTHEWOOD, SC 29016
(478) 284-6197
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8496
SC
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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