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Individual

DR. FREDERICK J BREME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
598 S MILLEDGE AVE, SUITE 5, ATHENS, GA 30605-1262
(706) 353-0709
(706) 549-3167
Mailing address
598 S MILLEDGE AVE, SUITE 5, ATHENS, GA 30605-1262
(706) 353-0709
(706) 549-3167

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY000710
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00425631B
GA
Enumeration date
10/11/2005
Last updated
07/08/2007
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