TIMOTHY FREDRICKSON

MADISON, WI
NPI1477248664
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  11167-125)
Enumeration Date2023-04-05
Last Update Date2024-09-10
Business Address
Mr. TIMOTHY FREDRICKSON
660 W WASHINGTON AVE
MADISON, WI 53703-4703
Phone number: 608-444-5106
Mailing Address
Mr. TIMOTHY FREDRICKSON
PO BOX 294
STOUGHTON, WI 53589-0294
Phone number: 608-444-5106
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