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Individual

CRYSTAL FREDERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
476 APPLETON ST STE 5, HOLYOKE, MA 01040-3236
(413) 322-0481
Mailing address
133 REGAL ST, SPRINGFIELD, MA 01118-1718
(413) 657-2237

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/07/2020
Last updated
02/07/2020
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