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Individual

MASHA NAOMI FRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
15455 65TH AVE S, SUITE A, TUKWILA, WA 98188-2534
(206) 721-5170
(206) 721-6288
Mailing address
15455 65TH AVE S, SUITE A, TUKWILA, WA 98188-2534
(206) 721-5170
(206) 721-6288

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RC00053930
WA

Other

Enumeration date
01/13/2010
Last updated
07/18/2013
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