Individual
TRACI FRALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
225 MIDLAND PKWY, SUMMERVILLE, SC 29485-8104
(843) 851-5015
(843) 851-5029
Mailing address
2508 MELVILLE RD, N CHARLESTON, SC 29406-9798
(843) 860-5955
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
957
SC
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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