Individual
CAROLYN DIANE FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
71 HAYNES ST, MANCHESTER MEMORIAL HOSPITAL, MANCHESTER, CT 06040-4131
(860) 646-1222
(860) 533-3452
Mailing address
71 HAYNES ST, MANCHESTER MEMORIAL HOSPITAL, MANCHESTER, CT 06040-4131
(860) 646-1222
(860) 533-3452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007707
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004025177
—
CT
Enumeration date
10/29/2011
Last updated
09/15/2015
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