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Individual

SONJA ANNE FRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
211 E 7TH AVE, EUGENE, OR 97401-2773
(541) 242-0467
Mailing address
211 E 7TH AVE, EUGENE, OR 97401-2773
(541) 242-0467

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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