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1750977690
TIERRA FREDERICK
SANFORD, FL
NPI
1750977690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-12-15
Last Update Date
2023-08-15
Business Address
TIERRA FREDERICK RBT
7226 CARDINAL COVE CIR APT 7226
SANFORD, FL 32771-6334
Phone number: 954-806-2591
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Mailing Address
TIERRA FREDERICK RBT
7226 CARDINAL COVE CIR # 7226
SANFORD, FL 32771-6334
Phone number: 954-806-2591
Copy
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