| Doctor Name: | MR. JEFFREY ROBERT FRASER |
| NPI Number: | 1528029576 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMSW |
| License Number: | 6801057659 |
| Business Practice Address: | 1322 North River Road Norserv Group Saint Clair, MI - 48079 |
| Business Phone Number: | 8103294798 |
| Business Fax Number: | 8103297303 |
| Mailing Address: | 1322 North River Rd, Norserv Group Ltd ST CLAIR |
| State: | MI |
| Postal Code: | 48079 |
| Phone Number: | 8103294798 |
| Fax Number: | 8103297303 |
| NPI Enumeration Date: | 03/29/2006 |
| NPI Last Update Date: | 07/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801057659 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |