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1871665505
KORY LEE FREDERICK
DES MOINES, IA
NPI
1871665505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 00867)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Dr. KORY LEE FREDERICK Psy.D., LMHC
3811 38TH ST
DES MOINES, IA 50310-3648
Phone number: 515-280-3339
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Mailing Address
Dr. KORY LEE FREDERICK Psy.D., LMHC
3841 TWANA DR
DES MOINES, IA 50310-4232
Phone number: 515-727-6434
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