Individual
MS. MELINDA FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
14323 S. OUTER FORTY DR., SUITE # 607S, CHESTERFIELD, CHESTERFIELD, MO 63017
(314) 488-0662
Mailing address
14323 S. OUTER FORTY DR., SUITE # 607S, CHESTERFIELD, CHESTERFIELD, MO 63017
(314) 488-0662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2004000339
MO
Other
Enumeration date
05/19/2009
Last updated
04/21/2011
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