Provider Information for 1275202202
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JENNIFER FROHOCK MA LPC
Sex: Female
NPI: 1275202202
Last Updated: 2021-09-13
Certification Date: 2021-09-13
Certification Date: 2021-09-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1275202202 | ||||||||
| Enumeration Date | 2021-09-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3480 SUNNYDALE RD BLOOMFIELD HILLS, MI 48301-2438 United States Phone: 586-292-6148 | Fax: | ||||||||
| Primary Practice Address | 3480 SUNNYDALE RD BLOOMFIELD HILLS, MI 48301-2438 United States Phone: 586-292-6148 | Fax: | ||||||||
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