Provider Information for 1851595144
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Ms. SUZANNE VIRGINIA FRAY MSW, LCSW
Sex: Female
NPI: 1851595144
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1851595144 | ||||||||
| Enumeration Date | 2007-06-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 408 HILLSIDE DR GREENSBORO, NC 27401-1931 United States Phone: 336-370-0558 | Fax: | ||||||||
| Primary Practice Address | 620 S ELM ST SUITE 312 GREENSBORO, NC 27406-1370 United States Phone: 336-389-1413 | Fax: | ||||||||
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