Mary Lavina Fredricks, LCSW
NPI #1376510412 in Livermore Falls, Maine
Provider Information
- NPI Number
- 1376510412
- Entity Type
- Individual
- Name
- Mary Lavina Fredricks, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 8, 2006
- Last Updated
- Nov 15, 2012
Practice Location
- Address
- 38 UNION ST
- City
- Livermore Falls
- State
- Maine
- ZIP Code
- 04254
- Phone
- (207) 897-6601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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