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1881946176
TIMOTHY ALLEN FRY
SANTA CRUZ, CA
NPI
1881946176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-10
Last Update Date
2016-01-28
Business Address
-- TIMOTHY ALLEN FRY CADC-CAS
1000A, 1010C EMELINE AVE.
SANTA CRUZ, CA 95060-1900
Phone number: 831-425-0112
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Mailing Address
-- TIMOTHY ALLEN FRY CADC-CAS
1000A, 1010C EMELINE AVE.
SANTA CRUZ, CA 95060-1900
Phone number: 831-425-0112
Copy
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