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Individual

MR. WILLIAM MARK FREDERICK

Active
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Individual

MR. WILLIAM MARK FREDERICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4564
SC
106H00000X
Marriage & Family Therapist
MFC 30357
CA

Other

Enumeration date
03/11/2008
Last updated
02/04/2014
About Stedi
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