Organization
CHRISTINE FREDERICK SPEECH THERAPIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE FREDERICK (CEO)
(770) 000-0000
Entity
Organization
Contact information
Practice address
3162 STRATFORD GREEN PL, AVONDALE ESTATES, GA 30002-1341
(770) 000-0000
Mailing address
3162 STRATFORD GREEN PL, AVONDALE ESTATES, GA 30002-1341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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