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1548224744
SUSAN M FREDRICKSON
CLERMONT, FL
NPI
1548224744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL MH 4648)
Enumeration Date
2006-04-14
Last Update Date
2007-07-09
Business Address
-- SUSAN M FREDRICKSON LMHC
655 W HWY 50 SUITE 104
CLERMONT, FL 34711-2913
Phone number: 352-394-5922
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Mailing Address
-- SUSAN M FREDRICKSON LMHC
2950 PLAZA TERRACE DR
ORLANDO, FL 32803-2825
Phone number: 352-394-5922
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