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1366410029
TRAVIS EUGENE FRYE
PHOENIX, AZ
NPI
1366410029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC-12149)
Enumeration Date
2006-03-09
Last Update Date
2009-02-04
Business Address
Mr. TRAVIS EUGENE FRYE LPC
4614 E SHEA BLVD SUITE D-250
PHOENIX, AZ 85028-3070
Phone number: 602-953-9070
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Mailing Address
Mr. TRAVIS EUGENE FRYE LPC
39737 N HIGH NOON WAY
ANTHEM, AZ 85086-2376
Phone number: 602-316-7134
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