CODY FRASURE

MOUNTAIN HOME, TN
NPI1457305203
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  33442)
Enumeration Date2006-05-19
Last Update Date2007-07-08
Business Address
Mr. CODY FRASURE MSW
SYDNEY AND LAMONT STREETS
MOUNTAIN HOME, TN 37684
Phone number: 423-979-2634
Mailing Address
Mr. CODY FRASURE MSW
151 MOUNTAIN RIDGES DR
JONESBOROUGH, TN 37659-6382
Phone number: 423-833-2326
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