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Individual

LLOYD FRYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDCA

Contact information

Practice address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 727-2086
Mailing address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
110554
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110554
CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
02/08/2018
Last updated
02/08/2018
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