MRS. Shantae Nicole Fryson, MSW, LSW

NPI #1386998169 in Sandusky, Ohio

Provider Information

NPI Number: 1386998169
Entity Type: Individual
Name: MRS. Shantae Nicole Fryson, MSW, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MSW, LSW
Enumeration Date: Nov 1, 2012
Last Updated: Jun 19, 2018

Practice Location

Address: 1634 SYCAMORE LINE
City: Sandusky
State: Ohio
ZIP Code: 44870
Phone: (419) 626-9156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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