Charlene Frederick

NPI #1760550727 in Ruidoso, New Mexico

Provider Information

NPI Number: 1760550727
Entity Type: Individual
Name: Charlene Frederick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - School
Enumeration Date: Nov 30, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 1400 SUDDERTH DR
City: Ruidoso
State: New Mexico
ZIP Code: 88345-6103
Phone: (505) 257-2368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - School — School	1041S0200X	Primary

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