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1114665239
SAMANTHA FREDERICKS
NEW YORK, NY
NPI
1114665239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 18-P123411-01)
Enumeration Date
2022-05-27
Last Update Date
2024-09-19
Business Address
SAMANTHA FREDERICKS
299 BROADWAY STE 1115
NEW YORK, NY 10007-1901
Phone number: 646-250-8212
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Mailing Address
SAMANTHA FREDERICKS
20 RIVER TER APT 19B
NEW YORK, NY 10282-1215
Phone number: 646-250-8212
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