Individual
JOHN MICHAEL FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 257-5845
Mailing address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 257-5845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
I0027324
OH
1041C0700X
Clinical Social Worker
Primary
I0027324
OH
Other
Enumeration date
08/10/2007
Last updated
10/24/2008
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