MARTHA FREDERICK

GULFPORT, MS
NPI1255895645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-01-30
Last Update Date2019-01-30
Business Address
MARTHA FREDERICK
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-865-1719
Mailing Address
MARTHA FREDERICK
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-865-1719
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