LYLE R FRIED

PORT SAINT LUCIE, FL
NPI1164175121
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL  4805)
Enumeration Date2022-01-31
Last Update Date2022-03-12
Business Address
Mr. LYLE R FRIED CAP, ICADC
5785 NW WESLEY RD
PORT SAINT LUCIE, FL 34986-4207
Phone number: 772-332-8711
Mailing Address
Mr. LYLE R FRIED CAP, ICADC
5785 NW WESLEY RD
PORT SAINT LUCIE, FL 34986-4207
Phone number: 772-332-8711
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