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Individual

BROOKE FREDERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
290 SAGE BRUSH LN, ROSSVILLE, GA 30741-8375
(423) 402-1129
Mailing address
290 SAGE BRUSH LN, ROSSVILLE, GA 30741-8375
(423) 402-1129

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
326678
GA

Other

Enumeration date
02/16/2021
Last updated
03/13/2021
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