MRS. Shelby D Fredericks

NPI #1477229201 in Lockport, Illinois

Provider Information

NPI Number
1477229201
Entity Type
Individual
Name
MRS. Shelby D Fredericks
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
Aug 20, 2021
Last Updated
Aug 20, 2021

Practice Location

Address
16108 WEBER RD
ZIP Code
60441-6542
Phone
(815) 685-7627

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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