Individual
MICHELE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N FOREST AVE, INDEPENDENCE, MO 64050-2696
(715) 220-9280
Mailing address
7732 BROOK LANE AVE, KANSAS CITY, MO 64139-1295
(715) 220-8783
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2000143599
MO
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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