Individual
WANDA FRYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 W BROADWAY, LOUISVILLE, KY 40211-1333
(502) 589-1100
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
(502) 589-8771
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5076
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/05/2007
Last updated
12/09/2014
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