JOHNNA FREDERICK

AUSTIN, TX
NPI1891032728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  19426)
Enumeration Date2013-01-11
Last Update Date2013-01-11
Business Address
-- JOHNNA FREDERICK
2211 S IH 35 SUITE 300
AUSTIN, TX 78741-3865
Phone number: 512-394-0652
Mailing Address
-- JOHNNA FREDERICK
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
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