Individual
MS. CANDICE STONE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED.
Contact information
Practice address
709 DAVIDSON ST, TULLAHOMA, TN 37388-3607
(931) 393-5939
Mailing address
709 DAVIDSON ST, TULLAHOMA, TN 37388-3607
(931) 393-5939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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