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1497725725
RICHARD IVAN FREDERICK
SPRINGFIELD, MO
NPI
1497725725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MO R0334)
Enumeration Date
2006-01-26
Last Update Date
2009-07-29
Business Address
Dr. RICHARD IVAN FREDERICK Ph.D.
1244 E WALNUT ST
SPRINGFIELD, MO 65802-3423
Phone number: 417-766-4373
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Mailing Address
Dr. RICHARD IVAN FREDERICK Ph.D.
1244 E WALNUT ST
SPRINGFIELD, MO 65802-3423
Phone number: 417-766-4373
Copy
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