Individual
MRS. CAROL LYNN FRYBARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2046 BOURDON ST, MUSKEGON, MI 49441-1625
(231) 903-0490
Mailing address
2046 BOURDON ST, MUSKEGON, MI 49441-1625
(231) 903-0490
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801035727
MI
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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