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Mr. JARON FREDERICK -- MA

Individual Provider (NPI-1) Active

Counselor

Provider Information

NPI Number
1073059143
Provider Type
Individual Provider (NPI-1)
Credentials
MA
Status
Active

Contact & Location

Address
136 W 21ST AVE, TORRINGTON, WY, 822402721
Phone
(307) 532-2119

Specialties & Taxonomies

Counselor Primary License: WY #PPC-988

All Addresses

MAILING

2321 ROAD 116

FORT LARAMIE, WY, 822127634

(307) 837-2050

LOCATION

136 W 21ST AVE

TORRINGTON, WY, 822402721

(307) 532-2119