Jacquelyn Sue Fedrow, MSW, LSW

NPI #1003504382 in The Villages, Florida

Provider Information

NPI Number: 1003504382
Entity Type: Individual
Name: Jacquelyn Sue Fedrow, MSW, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MSW, LSW
Enumeration Date: Apr 25, 2023
Last Updated: Sep 21, 2023

Practice Location

Address: 8900 SE 165TH MULBERRY LN
City: The Villages
State: Florida
ZIP Code: 32162-5884
Phone: (352) 674-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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