Individual
AMY FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 363-2120
(216) 363-2255
Mailing address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 363-2120
(216) 363-2255
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
I.2002314
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
S.0026891
OH
Other
Enumeration date
10/22/2018
Last updated
02/06/2023
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