AUDREY MAE FREDERICKSON

MOUND, MN
NPI1689681298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MN  4856)
Enumeration Date2006-08-03
Last Update Date2009-11-13
Business Address
Dr. AUDREY MAE FREDERICKSON Psy D
5200 MAYWOOD RD SUITE 202
MOUND, MN 55364-1775
Phone number: 952-472-2408
Mailing Address
Dr. AUDREY MAE FREDERICKSON Psy D
5200 MAYWOOD RD SUITE 202
MOUND, MN 55364-1775
Phone number: 952-472-2408
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