KEITH FREDERIC

MEMPHIS, TN
NPI1730992645
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TN  6792)
Enumeration Date2025-01-27
Last Update Date2025-01-27
Business Address
KEITH FREDERIC tLPC-MHSP
5587 MURRAY AVE STE 205
MEMPHIS, TN 38119-0896
Phone number: 901-501-7119
Mailing Address
KEITH FREDERIC tLPC-MHSP
6952 PARKBROOK LN
CORDOVA, TN 38018-7936
Phone number: 901-501-7119
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