Individual
CARMEN SUE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 SPECKMAN ROAD, LOUISVILLE, KY 40243
(502) 817-4084
Mailing address
418 LANDIS LAKES CT, LOUISVILLE, KY 40245-3972
(502) 817-4084
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
137137
KY
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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