NPI 1033143219

Teddy Ray Fraker, LCSWCPHD

Practitioner Clinical Social Worker Aberdeen, MD

Practice location

Address: 135 N Parke St, Aberdeen, MD 21001-2428
Phone: (443) 625-1600
Mailing address: 112 Edith Stone Dr, Abingdon, MD 21009-1170

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 00307 (MD)

Other Social Worker providers in Maryland →

Registry record

NPI: 1033143219
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.