MARK DAVID FRALICK

BOSTON, MA
NPI1912440181
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA  13521)
Enumeration Date2016-11-21
Last Update Date2016-11-21
Business Address
-- MARK DAVID FRALICK LADC
675 E 4TH ST
BOSTON, MA 02127-3063
Phone number: 857-496-7336
Mailing Address
-- MARK DAVID FRALICK LADC
121 INTERVALE ST
BROCKTON, MA 02302-1761
Phone number: 508-309-2254
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