TRACEY FREDERIKSEN

PRESCOTT, AZ
NPI1093961708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-11878)
Enumeration Date2008-08-13
Last Update Date2008-08-13
Business Address
-- TRACEY FREDERIKSEN MC
2228 LAKEWOOD DR
PRESCOTT, AZ 86301-4476
Phone number: 928-583-2580
Mailing Address
-- TRACEY FREDERIKSEN MC
2228 LAKEWOOD DR
PRESCOTT, AZ 86301-4476
Phone number:
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