Individual
MRS. MELINDA SUE FRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A./C.A.S.
Contact information
Practice address
12 MOHAWK ST, TUPPER LAKE, NY 12986-1028
(518) 359-7518
Mailing address
12 MOHAWK ST, TUPPER LAKE, NY 12986-1028
(518) 359-7518
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
913373
NY
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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