TRENTON D FEDRICK

TULSA, OK
NPI1497312516
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  14583)
Enumeration Date2019-05-23
Last Update Date2019-05-23
Business Address
TRENTON D FEDRICK
550 S PEORIA AVE
TULSA, OK 74120-3820
Phone number: 918-588-1900
Mailing Address
TRENTON D FEDRICK
6500 N GLENWOOD AVE APT 103
CHICAGO, IL 60626-5154
Phone number: 773-386-4833
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