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1376013342
CARMEN SUE FREDERICK
LOUISVILLE, KY
NPI
1376013342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: KY 137137)
Enumeration Date
2018-12-03
Last Update Date
2018-12-03
Business Address
CARMEN SUE FREDERICK
731 SPECKMAN ROAD
LOUISVILLE, KY 40243
Phone number: 502-817-4084
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Mailing Address
CARMEN SUE FREDERICK
418 LANDIS LAKES CT
LOUISVILLE, KY 40245-3972
Phone number: 502-817-4084
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