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1376510412
MARY LAVINA FREDRICKS
LIVERMORE FALLS, ME
NPI
1376510412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME ME129365)
Enumeration Date
2006-03-08
Last Update Date
2012-11-15
Business Address
-- MARY LAVINA FREDRICKS LCSW
38 UNION ST
LIVERMORE FALLS, ME 04254
Phone number: 207-897-6601
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Mailing Address
-- MARY LAVINA FREDRICKS LCSW
38 UNION ST
LIVERMORE FALLS, ME 04254
Phone number: 207-897-6601
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