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Individual
THOMAS L FRYDENGER
Active
Individual
THOMAS L FRYDENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05923286
BLUECROSS BLUESHIELD
IL
01
—
199025
VALUE OPTIONS
IL
01
—
269372
HEALTHLINK
IL
Enumeration date
08/08/2006
Last updated
07/08/2007
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