MS. Cynthia M Fredericks, LMSW

NPI #1417100546 in Syosset, New York

Provider Information

NPI Number: 1417100546
Entity Type: Individual
Name: MS. Cynthia M Fredericks, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Nov 3, 2008
Last Updated: Nov 3, 2008

Practice Location

Address: 19 CLARISSA DR
City: Syosset
State: New York
ZIP Code: 11791-3712
Phone: (516) 921-4968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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