Individual
ERICKA TIPHANY FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SCL, LLC
Contact information
Practice address
29425 NORTHWESTERN HWY STE 215, SOUTHFIELD, MI 48034-1000
(248) 327-7409
Mailing address
31278 SCHOENHERR RD APT 5, WARREN, MI 48088-1943
(313) 658-5133
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023222
MI
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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