Charles G Fry, BA

NPI #1285923052 in Mishawaka, Indiana

Provider Information

NPI Number: 1285923052
Entity Type: Individual
Name: Charles G Fry, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BA
Enumeration Date: Apr 1, 2011
Last Updated: Aug 1, 2011

Practice Location

Address: 1411 LINCOLNWAY W
City: Mishawaka
State: Indiana
ZIP Code: 46544-1626
Phone: (574) 259-5666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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