Individual
KATHLEEN C FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27177 LAHSER RD, SOUTHFIELD, MI 48034-4714
(248) 327-7170
Mailing address
27177 LAHSER RD, SOUTHFIELD, MI 48034-4714
(248) 327-7170
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
160100746
MI
Other
Enumeration date
08/02/2016
Last updated
06/30/2023
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