ALAN FREDERICKSEN

SIOUX CITY, IA
NPI1184035461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  14019)
Enumeration Date2014-05-08
Last Update Date2014-05-08
Business Address
-- ALAN FREDERICKSEN M.A., CADC
1221 PIERCE ST
SIOUX CITY, IA 51105-1418
Phone number: 712-255-0204
Mailing Address
-- ALAN FREDERICKSEN M.A., CADC
1221 PIERCE ST.
SIOUX CITY, IA 51105
Phone number:
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