MRS. Kimberly Bass Fredericks, BS

NPI #1285656348 in Biloxi, Mississippi

Provider Information

NPI Number: 1285656348
Entity Type: Individual
Name: MRS. Kimberly Bass Fredericks, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BS
Enumeration Date: Jul 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 400 VETERANS AVE
Address 2: (116B)
City: Biloxi
State: Mississippi
ZIP Code: 39531-2410
Phone: (228) 523-4241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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