Individual
ADA KATHERINE FRYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
PO BOX 367, LAPWAI, ID 83540-0367
(208) 843-2271
Mailing address
437 LEE RD, HARPSTER, ID 83552-5061
(208) 251-8931
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2661074
ID
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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