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Individual

MS. ANDREA L. FRYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3780 S PARK AVE, BLASDELL, NY 14219-1805
(716) 926-1750
Mailing address
5120 ORCHARD AVE, HAMBURG, NY 14075-5657
(716) 926-1710

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00030241501
UNIVERA
NY
01
000506354005
COMMUNITY BLUE
NY
Enumeration date
08/31/2006
Last updated
10/08/2020
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