COREY JORDAN FREDERICKS

GREENSBORO, NC
NPI1205509395
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YS0200X Counselor, School
(Licence: NC  3344567)
Enumeration Date2021-07-26
Last Update Date2021-07-26
Business Address
COREY JORDAN FREDERICKS
1601 E MARKET ST
GREENSBORO, NC 27411-0002
Phone number: 718-798-1418
Mailing Address
COREY JORDAN FREDERICKS
635 ARNOW AVE APT 2C
BRONX, NY 10467-7019
Phone number: 646-260-2334