Individual
MARY E. FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
231 WINDMILL LN, WALWORTH, WI 53184-2301
(262) 949-7020
Mailing address
231 WINDMILL LN, WALWORTH, WI 53184-2301
(262) 949-7020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149005539
IL
1041C0700X
Clinical Social Worker
Primary
7704-123
WI
Other
Enumeration date
05/02/2011
Last updated
01/13/2025
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