Individual
MS. DEBORA FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW, LCSW
Contact information
Practice address
205 S WALNUT ST, SUITE 19, BLOOMINGTON, IN 47404-6128
(812) 334-4437
Mailing address
205 S WALNUT ST, SUITE 19, BLOOMINGTON, IN 47404-6128
(812) 334-4437
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001354A
IN
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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