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1902096498
RYAN M FREDERICK
LOWELL, AR
NPI
1902096498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AR P1509105)
Enumeration Date
2007-07-31
Last Update Date
2015-10-01
Business Address
-- RYAN M FREDERICK LPC
515 ENTERPRISE DR 300
LOWELL, AR 72745-8982
Phone number: 479-717-7626
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Mailing Address
-- RYAN M FREDERICK LPC
515 ENTERPRISE DR 300
LOWELL, AR 72745-8982
Phone number: 479-717-7626
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