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Data Detail

Name: Paul B. Frederiksen 

Designation: Ph.D.

Issue Date: 7/8/2011

Expiration Date: 6/30/2025

License Number: 51 886

Disciplinary Action: None

Company: Robley Rex VA Medical Center

City: Louisville

State: KY

Zip: 40206

Work Phone: (502) 287-5995  Ext:

Civil Commitment Certification: Yes