MELYSSA J FREDERICK

BALLWIN, MO
NPI1114131422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  005968)
Enumeration Date2007-05-09
Last Update Date2007-07-08
Business Address
Mrs. MELYSSA J FREDERICK
396 BENBOW CT
BALLWIN, MO 63011-2541
Phone number: 636-207-7878
Mailing Address
Mrs. MELYSSA J FREDERICK
396 BENBOW CT
BALLWIN, MO 63011-2541
Phone number: 636-207-7878
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