Individual
KENNETH J FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
5425A BURNET RD, AUSTIN, TX 78756-1627
(512) 451-7337
(512) 451-8729
Mailing address
5425A BURNET RD, AUSTIN, TX 78756-1627
(512) 451-7337
(512) 451-8729
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
53032
TX
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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