Individual
CHRISTINE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3162 STRATFORD GREEN PL, AVONDALE ESTATES, GA 30002-1341
(770) 853-4614
Mailing address
3162 STRATFORD GREEN PL, AVONDALE ESTATES, GA 30002-1341
(770) 853-4614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004644
GA
Other
Enumeration date
03/25/2011
Last updated
07/19/2012
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