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1285022400
JOHN FREDERICK
COLUMBUS, GA
NPI
1285022400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-12-23
Last Update Date
2014-12-23
Business Address
-- JOHN FREDERICK 04/29/2007
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-596-5541
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Mailing Address
-- JOHN FREDERICK 04/29/2007
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-596-5541
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