Individual
MS. TRISHA LYNN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
12690 W. NORTH AVE., BUILDING C, BROOKFIELD, WI 53005-4605
(262) 785-1008
(262) 785-0644
Mailing address
12690 W. NORTH AVE., BUILDING C, BROOKFIELD, WI 53005-4605
(262) 785-1008
(262) 785-0644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1027-226
WI
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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