Individual
MARC FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 W PLEASANT VALLEY RD, PARMA, OH 44134-6521
(440) 843-8512
Mailing address
3683 EDGEBROOKE DR, APT 104, BRUNSWICK, OH 44212-6303
(920) 915-1388
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3197407
OH
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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