MS. Carol A Frazier, LICSW, BCD

NPI #1902889389 in Gallup, New Mexico

Provider Information

NPI Number
1902889389
Entity Type
Individual
Name
MS. Carol A Frazier, LICSW, BCD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LICSW, BCD
Enumeration Date
Nov 21, 2005
Last Updated
Dec 4, 2014

Practice Location

Address
513 WILLIAMS ST BLDG 15
Address 2
G-PRRTP VA TRANSITION CENTER
City
Gallup
ZIP Code
87301-4799
Phone
(505) 722-3761

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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