Individual
RUSSELL MARTIN FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
859 ALDERSON ST FL 3, WILLIAMSON, WV 25661-3215
(681) 945-8345
Mailing address
77 HIGH ST, LOGAN, WV 25601-3505
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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