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Individual
LARRY E FRITZ
Active
Individual
LARRY E FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2 LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000075056
BCBS
MT
05
—
0253266
—
MT
Enumeration date
09/15/2006
Last updated
11/13/2009
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