Individual
FREDRICKA KOLLSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 SUNRISE BLVD, FREMONT, OH 43420-4724
(419) 913-9745
Mailing address
1512 SUNRISE BLVD., FREMONT, OH 43420-4724
(419) 913-9745
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S. 0023051
OH
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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