Individual
BOBBY J FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
2520 WINDY HILL RD SE, SUITE 203, MARIETTA, GA 30067-8664
(770) 953-6401
(770) 953-6015
Mailing address
2520 WINDY HILL RD SE, SUITE 203, MARIETTA, GA 30067-8664
(770) 953-6401
(770) 953-6015
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC001563
GA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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