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1114097953
MARK FREDERICK
ALTOONA, PA
NPI
1114097953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC000343)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
-- MARK FREDERICK LPC
620 HOWARD AVE ACCESS CENTER, BUILDING C
ALTOONA, PA 16601-4804
Phone number: 814-889-6717
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Mailing Address
-- MARK FREDERICK LPC
620 HOWARD AVE ACCESS CENTER, BUILDING C
ALTOONA, PA 16601-4804
Phone number: 814-889-6717
Copy
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