Individual
JANA RAE FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5028 NW WOOD RIDGE DR, KANSAS CITY, MO 64151-3140
(816) 510-0220
Mailing address
5028 NW WOOD RIDGE DR, KANSAS CITY, MO 64151-3140
(816) 510-0220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004005835
MO
Other
Enumeration date
03/09/2007
Last updated
08/19/2011
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