Amy Fredericks
NPI #1053715920 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1053715920
- Entity Type
- Individual
- Name
- Amy Fredericks
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- Oct 21, 2014
- Last Updated
- Oct 21, 2014
Practice Location
- Address
- 490B W ZIA RD
- Address 2
- SUITE 4
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-7008
- Phone
- (505) 913-3820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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