Individual
TERESA DAWN FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11 KIMBALL DR, HOOKSETT, NH 03106-2603
(603) 824-3555
Mailing address
11 KIMBALL DR, HOOKSETT, NH 03106-2603
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
049298-23
NH
Other
Enumeration date
11/02/2023
Last updated
04/03/2024
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