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Individual

C. ROBERT FREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15802 N PARKVIEW PLACE, SURPRISE, AZ 85374
(623) 876-7022
Mailing address
15802 N PARKVIEW PLACE, SURPRISE, AZ 85374

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
965741
AZ
Enumeration date
05/10/2007
Last updated
07/09/2007
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