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1205509395
COREY JORDAN FREDERICKS
GREENSBORO, NC
NPI
1205509395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YS0200X Counselor, School
(Licence: NC 3344567)
Enumeration Date
2021-07-26
Last Update Date
2021-07-26
Business Address
COREY JORDAN FREDERICKS
1601 E MARKET ST
GREENSBORO, NC 27411-0002
Phone number: 718-798-1418
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Mailing Address
COREY JORDAN FREDERICKS
635 ARNOW AVE APT 2C
BRONX, NY 10467-7019
Phone number: 646-260-2334
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