Individual
DARYL FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
306 TURNER RD STE L, NORTH CHESTERFIELD, VA 23225-6432
(804) 363-6693
Mailing address
306 TURNER RD STE L, NORTH CHESTERFIELD, VA 23225-6432
(804) 363-6693
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008850
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831705821
—
VA
Enumeration date
02/12/2015
Last updated
09/10/2021
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