Individual
FLOYD FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3050 S NATIONAL AVE, SPRINGFIELD, MO 65804-4242
(417) 597-4572
Mailing address
3050 S NATIONAL AVE, SPRINGFIELD, MO 65804-4242
(417) 597-4572
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/09/2020
Last updated
10/22/2020
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