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Individual

MRS. CAROL C FRYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC LMFT

Contact information

Practice address
301 JENNY GEORGE LANE, SWEETWATER, TX 79556
(325) 235-9896
(325) 235-1489
Mailing address
1310 GRAND AVE, SWEETWATER, TX 79556-2628
(325) 235-9896
(325) 235-1489

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13427
TX
106H00000X
Marriage & Family Therapist
4655-45637
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
028343401
TX
Enumeration date
09/14/2006
Last updated
07/24/2007
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