FRED ELMENDORF

CHATTANOOGA, TN
NPI1720122039
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: TN  35884)
Enumeration Date2007-02-19
Last Update Date2007-07-08
Business Address
-- FRED ELMENDORF R.N.
413 SPRING ST
CHATTANOOGA, TN 37405-3848
Phone number: 423-756-2740
Mailing Address
-- FRED ELMENDORF R.N.
4913 ORCHARD DR
APISON, TN 37302-9523
Phone number:
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