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1346512589
MATTHEW FRED
CARBONDALE, IL
NPI
1346512589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225C00000X Rehabilitation Counselor
Enumeration Date
2012-02-03
Last Update Date
2012-02-03
Business Address
-- MATTHEW FRED M.S., CRC
2135 W RAMADA LN
CARBONDALE, IL 62901-5326
Phone number: 618-457-3318
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Mailing Address
-- MATTHEW FRED M.S., CRC
2135 W RAMADA LN
CARBONDALE, IL 62901-5326
Phone number: 618-457-3318
Copy