LATONIA NICOLE FREDRICK

CONWAY, SC
NPI1417980582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2006-07-09
Last Update Date2007-07-08
Business Address
-- LATONIA NICOLE FREDRICK
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
Mailing Address
-- LATONIA NICOLE FREDRICK
PO BOX 1702
HEMINGWAY, SC 29554-1702
Phone number: 843-558-7189
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