Individual
VICTORIA M FRYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
402 LAKE CASCADE PKWY, CASCADE, ID 83611-7702
(208) 382-4285
Mailing address
402 LAKE CASCADE PKWY, CASCADE, ID 83611-7702
(208) 382-4285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8911083
ID
Other
Enumeration date
08/11/2022
Last updated
05/16/2025
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