TERRY FREDRICKSON

POCATELLO, ID
NPI1962293795
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
Enumeration Date2025-05-13
Last Update Date2025-05-24
Business Address
TERRY FREDRICKSON
33 RIVERSIDE DR
POCATELLO, ID 83204-4025
Phone number: 208-604-3933
Mailing Address
TERRY FREDRICKSON
101 S MAIN ST
POCATELLO, ID 83204-3210
Phone number: 208-232-7807
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