Individual
MR. EDWARD RAYMOND FRYE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3001 A SIXTH ST, GREAT LAKES, IL 60088
(847) 688-3607
Mailing address
1023 AUSTIN AVE, PARK RIDGE, IL 60068-2644
(847) 688-3607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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