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Individual
SONJA ANNE FRY
Active
Individual
SONJA ANNE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
L4131
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L4131
VA EMPLOYEE
OR
Enumeration date
06/19/2007
Last updated
12/13/2010
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