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1184646432
MATTHEW RICHARD FREDERICK
MAUMELLE, AR
NPI
1184646432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 1475-C)
Enumeration Date
2006-07-24
Last Update Date
2016-03-23
Business Address
-- MATTHEW RICHARD FREDERICK LCSW
2001 CLUB MANOR DR STE J
MAUMELLE, AR 72113-7417
Phone number: 501-687-0488
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Mailing Address
-- MATTHEW RICHARD FREDERICK LCSW
2001 CLUB MANOR DR STE J
MAUMELLE, AR 72113-7417
Phone number: 501-687-0488
Copy
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