Individual
JERRY J FRY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6401 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6614
(317) 808-7085
(317) 708-0115
Mailing address
30 W MONROE ST STE 1200, CHICAGO, IL 60603-2420
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
34008795A
IN
1041C0700X
Clinical Social Worker
99095687A
IN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/09/2008
Last updated
08/07/2023
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