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1659938173
SOPHIA FREDERICK
PETALUMA, CA
NPI
1659938173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
SOPHIA FREDERICK
101 H ST STE L
PETALUMA, CA 94952-5100
Phone number: 866-206-2008
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Mailing Address
SOPHIA FREDERICK
4310 SUNNYSIDE DR
RIVERSIDE, CA 92506-2080
Phone number: 951-236-3561
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