Individual
CHARISE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 NW 11TH ST, OKLAHOMA CITY, OK 73106-2232
(405) 604-8090
Mailing address
1931 NW 11TH ST, OKLAHOMA CITY, OK 73106-2232
(405) 604-8090
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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