Individual
KATHRYN FRICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
973 N 6TH ST, MASCOUTAH, IL 62258-1154
(618) 566-4200
Mailing address
718 EVANSVILLE AVE, WATERLOO, IL 62298-1033
(618) 340-8772
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/11/2014
Last updated
01/29/2025
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