Provider Demographics
NPI:1912600537
Name:FRASCO, LAURA J (BA)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:J
Last Name:FRASCO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:R
Other - Last Name:FRASCO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA
Mailing Address - Street 1:9 SULLIVAN RD
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2841
Mailing Address - Country:US
Mailing Address - Phone:413-532-9446
Mailing Address - Fax:
Practice Address - Street 1:9 SULLIVAN RD
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2841
Practice Address - Country:US
Practice Address - Phone:781-861-0890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker