Individual
STACEY JO FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
211 NOTTINGHAM RD, RAMSEY, NJ 07446-2667
(201) 446-6667
Mailing address
211 NOTTINGHAM RD, RAMSEY, NJ 07446-2667
(201) 446-6667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00355900
NJ
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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