Individual
MRS. COURTNEY BLAINE FRYE CANARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
970 HOPE ST, UNIT 5, BRISTOL, RI 02809-5210
(401) 253-7575
(401) 253-1733
Mailing address
970 HOPE ST, UNIT 5, BRISTOL, RI 02809-5210
(401) 253-7575
(401) 253-1733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02072
RI
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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