Individual
EDGAR TYRONE FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
209 FRITTS RD, OLIVER SPRINGS, TN 37840-1225
(865) 765-3797
Mailing address
209 FRITTS RD, OLIVER SPRINGS, TN 37840-1225
(865) 765-3797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q022498
—
TN
Enumeration date
05/12/2016
Last updated
10/29/2024
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