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1386998169
SHANTAE NICOLE FRYSON
SANDUSKY, OH
NPI
1386998169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: OH S600034)
Enumeration Date
2012-11-01
Last Update Date
2018-06-19
Business Address
Mrs. SHANTAE NICOLE FRYSON MSW, LSW
1634 SYCAMORE LINE
SANDUSKY, OH 44870
Phone number: 419-626-9156
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Mailing Address
Mrs. SHANTAE NICOLE FRYSON MSW, LSW
1634 SYCAMORE LINE
SANDUSKY, OH 44870-4132
Phone number: 419-626-9156
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