MARK JOHN FRILLMAN

FREMONT, NE
NPI1710174545
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  203)
Enumeration Date2007-09-25
Last Update Date2007-09-25
Business Address
-- MARK JOHN FRILLMAN LADC
445 E 1ST ST
FREMONT, NE 68025-5668
Phone number: 402-721-7169
Mailing Address
-- MARK JOHN FRILLMAN LADC
2931 S 112TH ST
OMAHA, NE 68144-4701
Phone number: 402-812-5684
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