Provider Demographics
NPI:1295203883
Name:FRAWLEY, KATE ALLISON
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:ALLISON
Last Name:FRAWLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 S WOLFE ST APT 7
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-3555
Mailing Address - Country:US
Mailing Address - Phone:410-977-3232
Mailing Address - Fax:
Practice Address - Street 1:7205 RUTHERFORD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-2711
Practice Address - Country:US
Practice Address - Phone:443-780-1439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD206561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical