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1245527944
LORETTA FREDERICKS
FAIRFAX, VA
NPI
1245527944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904007688)
Enumeration Date
2011-07-01
Last Update Date
2011-07-01
Business Address
-- LORETTA FREDERICKS LCSW
10560 MAIN ST SUITE 405
FAIRFAX, VA 22030-7182
Phone number: 703-380-0355
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Mailing Address
-- LORETTA FREDERICKS LCSW
203 SKYHILL RD APT. 5
ALEXANDRIA, VA 22314-4957
Phone number: 703-380-0035
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