Individual
KATE FRYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 GLEN CROSSING RD, GLEN CARBON, IL 62034-1405
(888) 308-3728
Mailing address
117 GLEN CROSSING RD, GLEN CARBON, IL 62034-1405
(888) 308-3728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1540865
IL
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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