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1114164662
LAURA M FREDERICK
ROSEVILLE, CA
NPI
1114164662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFTI 55241)
Enumeration Date
2009-01-20
Last Update Date
2009-01-20
Business Address
-- LAURA M FREDERICK MFTI
720 SUNRISE AVE SUITE D115
ROSEVILLE, CA 95661-4516
Phone number: 916-772-6158
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Mailing Address
-- LAURA M FREDERICK MFTI
720 SUNRISE AVENUE SUITE D115
ROSEVILLE, CA 95661-4509
Phone number: 916-772-6158
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