| Fry Lcsw, Inc. | |
|
370 Prospect Pl Alpharetta GA 30005-5467 | |
| (678) 491-1806 | |
| Not Available |
| Full Name | Fry Lcsw, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 370 Prospect Pl, Alpharetta, Georgia |
| Authorized Official Name and Position | Jeffrey S. Fry (PRESIDENT) |
| Authorized Official Contact | 8665252128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fry Lcsw, Inc. 3593 Brookefall Ct Suwanee GA 30024-7033 Ph: (678) 491-1806 | Fry Lcsw, Inc. 370 Prospect Pl Alpharetta GA 30005-5467 Ph: (678) 491-1806 |
| NPI Number | 1740336916 |
|---|---|
| Provider Enumeration Date | 01/28/2007 |
| Last Update Date | 12/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740336916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW002889 (Georgia) | Primary |
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