JAMES FREDRICK

WEST BEND, WI
NPI1487829446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15489-130)
Enumeration Date2008-04-29
Last Update Date2008-04-29
Business Address
Mr. JAMES FREDRICK SAC-IT
1626 CLARENCE CT
WEST BEND, WI 53095-8533
Phone number: 262-338-8611
Mailing Address
Mr. JAMES FREDRICK SAC-IT
1626 CLARENCE CT
WEST BEND, WI 53095-8533
Phone number: 262-338-8611
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