Organization
FRY LCSW, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S. FRY LCSW (PRESIDENT)
(866) 525-2128
Entity
Organization
Contact information
Practice address
370 PROSPECT PL, ALPHARETTA, GA 30005-5467
(678) 491-1806
Mailing address
3593 BROOKEFALL CT, SUWANEE, GA 30024-7033
(678) 491-1806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002889
GA
Other
Enumeration date
01/28/2007
Last updated
12/09/2010
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