Susan Renee Fry

NPI #1215604905 in Kennett, Missouri

Provider Information

NPI Number: 1215604905
Entity Type: Individual
Name: Susan Renee Fry
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 30, 2021
Last Updated: Aug 30, 2021

Practice Location

Address: 935 STATE ROUTE VV
City: Kennett
State: Missouri
ZIP Code: 63857-3822
Phone: (573) 888-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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