Individual
OTOSHA MOORE FRYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 VALENCIA DR, JACKSONVILLE, NC 28546-6311
(910) 264-3902
Mailing address
108 JAMISON DR, RALEIGH, NC 27610-8616
(910) 977-2405
(910) 977-2405
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
20854A
NC
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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