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1790152106
TERRY FREDERICK
MCDONOUGH, GA
NPI
1790152106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-09-01
Last Update Date
2015-09-01
Business Address
-- TERRY FREDERICK M. Ed.
125 S ZACK HINTON PKWY
MCDONOUGH, GA 30253-3335
Phone number: 678-432-3330
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Mailing Address
-- TERRY FREDERICK M. Ed.
125 S ZACK HINTON PKWY
MCDONOUGH, GA 30253-3335
Phone number: 678-432-3330
Copy
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