Individual
MR. GREGORY L FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCSWI
Contact information
Practice address
5975 SUNSET DR STE 504, SOUTH MIAMI, FL 33143-5118
(561) 444-3512
(800) 915-6119
Mailing address
4020 LAKE WORTH RD, PALM SPRINGS, FL 33461-3918
(561) 444-3512
(800) 915-6119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
12/19/2019
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