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1609509439
JANET JACKSON FREDRICK
COLUMBIA, SC
NPI
1609509439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC SW.14846)
Enumeration Date
2022-07-08
Last Update Date
2022-07-08
Business Address
JANET JACKSON FREDRICK
1140 BRIARGATE CIR
COLUMBIA, SC 29210-6504
Phone number: 205-478-9579
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Mailing Address
JANET JACKSON FREDRICK
1140 BRIARSGATE CIRCLE
COLUMBIA, SC 29210
Phone number:
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