Individual
MS. ALICIA JANE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
079788-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079788-1
NEW YORK STATE DEPARTMENT OF EDUCATION-LICENSED MASTER SOCIAL WORKER
NY
Enumeration date
05/11/2019
Last updated
06/11/2019
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