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1497450456
KIMBERLY DIANE FREDRICK
AUSTIN, TX
NPI
1497450456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 12080)
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
Ms. KIMBERLY DIANE FREDRICK LPC
4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759-8479
Phone number: 512-843-7665
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Mailing Address
Ms. KIMBERLY DIANE FREDRICK LPC
4807 SPICEWOOD SPRINGS RD STE 1140
AUSTIN, TX 78759-8479
Phone number: 512-843-7665
Copy
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