Fryant, Marisusan
Fryant, Marisusan is an sole proprietor health care provider with primary practice located at 209 Greatland Farm Dr , Middletown VA 22645-3543. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fryant, Marisusan can be contacted via phone (540) 878-0799.Contact Information
Primary practice address
209 Greatland Farm Dr
Middletown VA 22645-3543
Phone: (540) 878-0799
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C014883 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904013738 | Virginia |
Profile Details
| NPI number | 1164165502 |
|---|---|
| LBN Legal business name | Fryant, Marisusan |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2022 |
| Last updated | Feb 23rd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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