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1356525083
DIANA JODI FREDERICK
SAHUARITA, AZ
NPI
1356525083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ 12321)
Enumeration Date
2007-12-17
Last Update Date
2012-04-06
Business Address
-- DIANA JODI FREDERICK MSW, LCSW
57 W CALLE LA BOLITA
SAHUARITA, AZ 85629-8663
Phone number: 520-743-6640
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Mailing Address
-- DIANA JODI FREDERICK MSW, LCSW
57 W CALLE LA BOLITA
SAHUARITA, AZ 85629-8663
Phone number:
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