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1053715920
AMY FREDERICKS
SANTA FE, NM
NPI
1053715920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NM M-07517)
Enumeration Date
2014-10-21
Last Update Date
2014-10-21
Business Address
AMY FREDERICKS
490B W ZIA RD SUITE 4
SANTA FE, NM 87505-7008
Phone number: 505-913-3820
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Mailing Address
AMY FREDERICKS
490B W ZIA RD SUITE 4
SANTA FE, NM 87505-7008
Phone number: 505-913-3820
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