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Individual

CHRISTINA FRYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, LCSW

Contact information

Practice address
900 LONG LAKE RD STE 160, NEW BRIGHTON, MN 55112-6414
(651) 592-1317
Mailing address
8302 ARCHWOOD CIR, TAMPA, FL 33615-4931
(651) 592-1317

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16075
FL
1041C0700X
Clinical Social Worker
Primary
23678
MN

Other

Enumeration date
03/12/2021
Last updated
03/12/2021
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