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Individual

STEPHANIE FRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3680 N INVESTMENT DR # 1, FAYETTEVILLE, AR 72703-5458
(479) 435-9356
Mailing address
3680 N INVESTMENT DR # 1, FAYETTEVILLE, AR 72703-5458

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A1806066
AR

Other

Enumeration date
05/15/2023
Last updated
05/16/2023
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Product
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