Individual
MS. KRISTEN JESSICA FRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, EDS
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R5F131600201
STATE OF WV
WV
Enumeration date
04/01/2010
Last updated
06/16/2018
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