Individual
MR. STEPHEN JOSEPH FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 296-0928
Mailing address
5601 DOMINGO RD NE, ALBUQUERQUE, NM 87108-1610
(505) 268-5295
(505) 268-9967
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
NM
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
06/21/2018
Last updated
06/18/2020
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