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Individual
LORI FRIESTROM
Active
Individual
LORI FRIESTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDIVPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001619A
IN
106H00000X
Marriage & Family Therapist
KY-0668
KY
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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