Individual
MONIQUE YVETTE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 W ROSS ST APT 1, WILKES BARRE, PA 18701-1552
(443) 993-1865
Mailing address
34 W ROSS ST APT 1, WILKES BARRE, PA 18701-1552
(443) 993-1865
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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