Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | I 0500034 | OH |
NPI | 1003035346 |
---|---|
Provider Name | Karen C. Fritts |
First Address | Toledo, OH 43623-3462 |
Second Address | Toledo, OH 43623-3462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 08/07/2007 |