MR. Theldon Fryberger JR., MSW, LCSW
NPI #1568598092 in Calimesa, California
Provider Information
- NPI Number
- 1568598092
- Entity Type
- Individual
- Name
- MR. Theldon Fryberger JR., MSW, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LCSW
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Mar 1, 2021
Practice Location
- Address
- 1012 NIGHT SHADE RD
- City
- Calimesa
- State
- California
- ZIP Code
- 92320-4904
- Phone
- (760) 805-9872
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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