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Individual
SHERRI LYNN FREDLOCK
Active
Individual
SHERRI LYNN FREDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.T.
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL004778L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1233910
AETNA
PA
01
—
419716
HEALTH AMER/HEALTH ASSUR
PA
01
—
FR278737
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/28/2006
Last updated
07/08/2007
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