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1013277557
AMANDA FREDERICK
SANTA BARBARA, CA
NPI
1013277557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-05-17
Last Update Date
2012-05-17
Business Address
Ms. AMANDA FREDERICK
4129 STATE ST
SANTA BARBARA, CA 93110-1848
Phone number: 805-964-4795
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Mailing Address
Ms. AMANDA FREDERICK
964 WEBER CIR APT 204
VENTURA, CA 93003-8240
Phone number: 805-208-6797
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