Individual
MRS. AMBER KAYE FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1632 LINNBROOK DR, DAYTON, OH 45406-3133
(937) 270-9167
Mailing address
1632 LINNBROOK DR, DAYTON, OH 45406-3133
(937) 270-9167
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
OH
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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