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Timothy Dwayne Fraley

Case Manager/Care Coordinator in South Point, OH. Individual provider (NPI-1).

NPI number1982193397
StatusActive
Last updated in NPPESMay 2, 2018

Details

NPI
1982193397
Entity type
Individual (NPI-1)
Name
Timothy Dwayne Fraley
Sex
Male
Sole proprietor
Yes
Enumeration date
May 2, 2018
Last updated
May 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

178 Private Road 19423
South Point, OH 45680-8831

Phone 740-451-0741 · Fax 740-313-0426

Mailing address

178 Private Road 19423
South Point, OH 45680-8831

Phone 740-451-0741 · Fax 740-313-0426

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