Individual
MRS. KELLY ELIZABETH FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 SHERWOOD DR STE 201, LAKE BLUFF, IL 60044-2235
(866) 815-6592
(847) 486-4145
Mailing address
1343 S DALTON DRIVE, ROUND LAKE, IL 60073
(847) 544-9577
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
02/05/2024
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