Individual
DR. JESSE FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
720 JEFFERSON ST, STANLEY, WI 54768-1117
(503) 484-3169
Mailing address
720 JEFFERSON ST, STANLEY, WI 54768-1117
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2865
WI
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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