Individual
MR. MATTHEW DAVID FRYMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 941-3539
Mailing address
1550 W 72ND ST, INDIANAPOLIS, IN 46260-3902
(317) 941-3539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006463A
IN
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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