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1336262963
CAROLYN MARIE FREDRICK
KANSAS CITY, MO
NPI
1336262963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2002001642)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Miss CAROLYN MARIE FREDRICK LPC
4609 CHARLOTTE ST
KANSAS CITY, MO 64110-1521
Phone number: 816-507-0582
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Mailing Address
Miss CAROLYN MARIE FREDRICK LPC
4609 CHARLOTTE ST
KANSAS CITY, MO 64110-1521
Phone number: 816-507-0582
Copy
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