Mitchell Bruno- Frederiksen
NPI #1811685464 in Coventry Township, Ohio
Provider Information
- NPI Number
- 1811685464
- Entity Type
- Individual
- Name
- Mitchell Bruno- Frederiksen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- May 1, 2023
- Last Updated
- May 1, 2023
Practice Location
- Address
- 648 COVE BLVD
- State
- Ohio
- ZIP Code
- 44319-1042
- Phone
- (330) 553-4584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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