Individual
OLUCHIDIEBUBE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 WEATHERLY DR STE F, CLARKSVILLE, TN 37043-8915
(877) 641-1155
(615) 320-1177
Mailing address
775 WEATHERLY DR STE F, CLARKSVILLE, TN 37043-8915
(877) 641-1155
(615) 320-1177
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
03/05/2026
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