Organization
ELISA FRALEY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA ANN FRALEY LCSW (OWNER)
(561) 371-7722
Entity
Organization
Contact information
Practice address
125 W INDIANTOWN RD STE 106, JUPITER, FL 33458-3539
(561) 371-7722
(866) 718-3107
Mailing address
116 LIGHTHOUSE CIR APT B, TEQUESTA, FL 33469-4706
(561) 371-7722
(866) 718-3107
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW4901
LICENSE
FL
Enumeration date
04/07/2022
Last updated
04/07/2022
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