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1073849246
ELIZABETH R FREDERICK
CLOVIS, NM
NPI
1073849246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NM C-11341)
Enumeration Date
2009-10-23
Last Update Date
2022-11-01
Business Address
ELIZABETH R FREDERICK LCSW
1100 W 21ST STREET
CLOVIS, NM 88101
Phone number: 575-769-2345
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Mailing Address
ELIZABETH R FREDERICK LCSW
1100 W 21ST STREET
CLOVIS, NM 88101
Phone number: 575-769-2345
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