Provider Information for 1902037682
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Ms. TAMMY LYNN FROSSARD LCPC
Sex: Female
NPI: 1902037682
Last Updated: 2014-08-15
Certification Date:
Certification Date:
Details
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NPI | 1902037682 | ||||||||
Enumeration Date | 2009-07-29 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 4584 METEOR CT MACHESNEY PARK, IL 61115-2247 United States Phone: 815-985-6560 | Fax:815-969-8871 | ||||||||
Primary Practice Address | 4584 METEOR CT MACHESNEY PARK, IL 61115-2247 United States Phone: 815-985-6560 | Fax:815-969-8871 | ||||||||
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