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Individual

BRANDI FRYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3989 N 20TH ST, OZARK, MO 65721-7433
(816) 366-5515
(816) 819-5873
Mailing address
334 W ELM ST, REPUBLIC, MO 65738-1884
(417) 343-9964

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024005439
MO

Other

Enumeration date
05/11/2021
Last updated
12/26/2024
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