KORY LEE FREDERICK

DES MOINES, IA
NPI1871665505
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IA  00867)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
Dr. KORY LEE FREDERICK Psy.D., LMHC
3811 38TH ST
DES MOINES, IA 50310-3648
Phone number: 515-280-3339
Mailing Address
Dr. KORY LEE FREDERICK Psy.D., LMHC
3841 TWANA DR
DES MOINES, IA 50310-4232
Phone number: 515-727-6434