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Individual

JACQUELINE M FRAZIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FP

Contact information

Practice address
7656 W FLORENCE AVE, PHOENIX, AZ 85043-7847
(602) 690-9785
Mailing address
7656 W FLORENCE AVE, PHOENIX, AZ 85043-7847
(602) 690-9785

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
253J00000X
Foster Care Agency
385HR2055X
Child Mental Illness Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158009
AZ
05
993354
AZ
Enumeration date
04/04/2007
Last updated
12/16/2025
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