FREDERICK JEFFERSON

MAYWOOD, IL
NPI1881332955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: IL  178017761)
Enumeration Date2022-05-26
Last Update Date2022-05-26
Business Address
MR. FREDERICK JEFFERSON LPC
411 MADISON ST
MAYWOOD, IL 60153-2136
Phone number: 708-450-3500
Mailing Address
MR. FREDERICK JEFFERSON LPC
1034 30TH AVE
BELLWOOD, IL 60104-2442
Phone number: 708-328-0193
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