Fraser, Shirley Marie

Fraser, Shirley Marie is an sole proprietor health care provider with primary practice located at 310 Hartford Tpke Ste 2, Vernon CT 06066-4719. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fraser, Shirley Marie can be contacted via phone (860) 324-4254.

Contact Information

Primary practice address
310 Hartford Tpke Ste 2 Vernon CT 06066-4719
Phone: (860) 324-4254
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 008352 Connecticut

Profile Details

NPI number 1144513615
LBN Legal business name Fraser, Shirley Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2011
Last updated Sep 25th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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