Deidra Michelle Fraire

NPI #1285356865 in Alva, Oklahoma

Provider Information

NPI Number: 1285356865
Entity Type: Individual
Name: Deidra Michelle Fraire
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Sep 12, 2022
Last Updated: Sep 12, 2022

Practice Location

Address: 604 CHOCTAW ST
City: Alva
State: Oklahoma
ZIP Code: 73717-1626
Phone: (580) 327-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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