Individual
SHAWN FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
424 WASHINGTON ST, SUITE 7, COLUMBUS, IN 47201-6790
(812) 799-1350
Mailing address
424 WASHINGTON ST, SUITE 7, COLUMBUS, IN 47201-6790
(812) 799-1350
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100083280A
—
IN
Enumeration date
03/08/2010
Last updated
05/02/2013
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