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1528611472
KELSEY FRASER
PROVO, UT
NPI
1528611472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 9421739-3501)
Enumeration Date
2019-07-19
Last Update Date
2019-07-19
Business Address
KELSEY FRASER LCSW
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4400
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Mailing Address
KELSEY FRASER LCSW
PO BOX 270
PROVO, UT 84603-0270
Phone number: 801-344-4400
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