Individual
ELESE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 HART PL, CARBONDALE, PA 18407-1593
(570) 267-3960
Mailing address
10 HART PL, CARBONDALE, PA 18407-1593
(570) 267-3960
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010428
PA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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