LATONIA FREDRICK

Counselor

Active Individual
NPI: 1417980582

Practice Address

164 WACCAMAW MEDICAL PARK DR
Conway, SC 29526

Phone: (843) 347-5060

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1417980582 is the National Provider Identifier for LATONIA FREDRICK, a Counselor provider located in Conway, SC. This NPI was enumerated on July 9, 2006.
LATONIA FREDRICK practices at 164 WACCAMAW MEDICAL PARK DR, Conway, SC 29526.

Quick Facts

NPI
1417980582
Type
Individual
Enumerated
Jul 9, 2006
Last Updated
Jul 8, 2007

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