Teddy Ray Fraker LCSW-C, PH.D

NPI 1033143219 - Social Worker - 1041C0700X

NPI Details
NPI 1033143219
Gender Male
Enumeration Date 07/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
135 N PARKE ST
ABERDEEN MD, 21001-2428, US
Phone (443) 625-1600
Fax
Business Location
112 EDITH STONE DR
ABINGDON MD, 21009-1170, US
Phone (410) 569-8224
Fax (443) 625-1520
Toxanomy
Taxonomy Code 1041C0700X
License State Maryland
License Number 00307
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According to our database, Dr. Teddy Ray Fraker LCSW-C, PH.D NPI is 1033143219, taxonomy code is 1041C0700X and license number is 00307, license state is located at Maryland. Teddy Ray Fraker LCSW-C, PH.D physically located at 135 N Parke St, Aberdeen MD, 21001-2428. NPI Number Teddy Ray Fraker LCSW-C, PH.D has the Individual type.

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1033143219 NPI number is provided on an as is basis without warranty of any kind. 1033143219 is maintained by the National Plan & Provider Enumeration System. The contents of Teddy Ray Fraker LCSW-C, PH.D are for informational purposes only.