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Brooke Frederick

NPI 1184210130 · on the registry since 2020 · sole proprietor

Practice

Address
503 Hickory Ln # A
Monticello, IN 47960
Phone
(812) 202-6840

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana