Individual
KENNETH D FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
280 N 400 E, AMERICAN FORK, UT 84003-1751
(801) 582-1565
Mailing address
280 N 400 E, AMERICAN FORK, UT 84003-1751
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
344277-3501
UT
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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