Individual
MARY BETH FRAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
119 MALLORY DR, SELMA, AL 36701-6535
(334) 872-6884
Mailing address
119 MALLORY DR, SELMA, AL 36701-6535
(334) 872-6884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2142
AL
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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