JIMMIE DWAYNE FEDRICK

TEMPLE, TX
NPI1750766408
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: TX  60729)
Enumeration Date2015-07-23
Last Update Date2015-07-23
Business Address
JIMMIE DWAYNE FEDRICK LMSW
1901 VETERANS MEMORIAL DR BUILDING #215; ROOM 121
TEMPLE, TX 76504-7451
Phone number: 254-743-1647
Mailing Address
JIMMIE DWAYNE FEDRICK LMSW
1901 VETERANS MEMORIAL DR BUILDING #215; ROOM 121
TEMPLE, TX 76504-7451
Phone number: 254-743-1647
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