Organization
BILL FREDERICK, , LCSW, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLARD J FREDERICK LCSW (OWNER)
(765) 288-7939
Entity
Organization
Contact information
Practice address
1945 W ROYALE DR, MUNCIE, IN 47304-2265
(765) 288-7939
(765) 288-7841
Mailing address
1945 W ROYALE DR, MUNCIE, IN 47304-2265
(765) 288-7939
(765) 288-7841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001033A
IN
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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