Individual
MRS. TABITHA SYMONE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13305 BROOKSTONE WAY, SUMMERVILLE, SC 29486-8024
(843) 599-3905
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-263895
SC
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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