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Individual

ANTHONY MARCLE FREDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5664 MOUNTAIN MEADOW CT, STONE MOUNTAIN, GA 30087-6050
(404) 374-9590
Mailing address
5664 MOUNTAIN MEADOW CT, STONE MOUNTAIN, GA 30087-6050
(404) 374-9590

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69557
GA

Other

Enumeration date
07/15/2021
Last updated
09/25/2025
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