Diana Jodi Frederick, MSW, LCSW

NPI #1356525083 in Sahuarita, Arizona

Provider Information

NPI Number
1356525083
Entity Type
Individual
Name
Diana Jodi Frederick, MSW, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW, LCSW
Enumeration Date
Dec 17, 2007
Last Updated
Apr 6, 2012

Practice Location

Address
57 W CALLE LA BOLITA
State
Arizona
ZIP Code
85629-8663
Phone
(520) 743-6640

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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