Willard Frazier JR.

NPI #1164842084 in Midwest City, Oklahoma

Provider Information

NPI Number: 1164842084
Entity Type: Individual
Name: Willard Frazier JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Apr 17, 2014
Last Updated: Apr 17, 2014

Practice Location

Address: 4406 N SHADYBROOK DR
City: Midwest City
State: Oklahoma
ZIP Code: 73110-3437
Phone: (405) 532-2669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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