Individual
ALEXANDER FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QBHP
Contact information
Practice address
200 E MAIN ST, CLARKSVILLE, AR 72830-3724
(479) 705-1634
(479) 705-1635
Mailing address
200 E MAIN ST, CLARKSVILLE, AR 72830-3724
(479) 705-1634
(479) 705-1635
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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