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1124634225
MATTHEW RAY FRAZER
PORTSMOUTH, OH
NPI
1124634225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 173064)
Enumeration Date
2020-09-23
Last Update Date
2020-09-23
Business Address
MATTHEW RAY FRAZER CDCA
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-8004
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Mailing Address
MATTHEW RAY FRAZER CDCA
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-8004
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