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1336797224
ASHLEY FREDERICKS
ST PETERSBURG, FL
NPI
1336797224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO 1336797224)
Enumeration Date
2019-09-03
Last Update Date
2023-12-07
Business Address
ASHLEY FREDERICKS
1735 30TH AVE N UNIT 1/2
ST PETERSBURG, FL 33713-4156
Phone number: 970-365-3802
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Mailing Address
ASHLEY FREDERICKS
4795 SIGNAL ROCK RD
COLORADO SPRINGS, CO 80922-1625
Phone number:
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