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1245072511
TRACI FREDERICKSON
MESA, AZ
NPI
1245072511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: AZ LMSW-22147)
Enumeration Date
2024-06-08
Last Update Date
2024-06-08
Business Address
TRACI FREDERICKSON LMSW
2150 S COUNTRY CLUB DR STE 34
MESA, AZ 85210-6885
Phone number: 480-662-6708
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Mailing Address
TRACI FREDERICKSON LMSW
2669 E SHERRI DR
GILBERT, AZ 85296-8636
Phone number: 602-573-9274
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