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Data Detail

Name: Brian P. Frederick 

Designation: Ph.D.

Issue Date: 12/17/1999

Expiration Date: 6/30/2025

License Number: 40-005

Disciplinary Action: None

Company: University of Louisiana

City: Lafayette

State: LA

Zip: 70503

Work Phone: (337) 482-6480  Ext:

Civil Commitment Certification: