Individual
MS. JULIE MARIE FREDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
25 N SUNSET BLVD, CAPE GIRARDEAU, MO 63701-5211
(573) 450-9267
Mailing address
25 N SUNSET BLVD, CAPE GIRARDEAU, MO 63701-5211
(573) 450-9267
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006028757
MO
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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