Tela Lynn Frederick

NPI 1295015618 - Counselor - 101YM0800X

NPI Details
NPI 1295015618
Gender Female
Enumeration Date 08/17/2011
Last Updated 08/17/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1604 N WASHINGTON AVE
DURANT OK, 74701-2128, US
Phone (580) 920-0909
Fax
Business Location
1604 N WASHINGTON AVE
DURANT OK, 74701-2128, US
Phone (580) 920-0909
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Ms. Tela Lynn Frederick NPI is 1295015618, taxonomy code is 101YM0800X Tela Lynn Frederick physically located at 1604 N Washington Ave, Durant OK, 74701-2128. NPI Number Tela Lynn Frederick has the Individual type.

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1295015618 NPI number is provided on an as is basis without warranty of any kind. 1295015618 is maintained by the National Plan & Provider Enumeration System. The contents of Tela Lynn Frederick are for informational purposes only.