SearchWisconsin1041C0700X

Mary Frazier, LCSW

NPI 1740571223 · on the registry since 2011 · sole proprietor

Practice

Address
231 Windmill Ln
Walworth, WI 53184
Phone
(262) 949-7020

Additional practice sites

  • 630 Kenosha St, Walworth, WI

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
IL, WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin