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1679889794
RANDI FREDRICKS
SAN JOSE, CA
NPI
1679889794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 47803)
Enumeration Date
2010-08-26
Last Update Date
2011-07-01
Business Address
Dr. RANDI FREDRICKS PhD
1174 LINCOLN AVE STE 6
SAN JOSE, CA 95125-3029
Phone number: 408-315-0645
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Mailing Address
Dr. RANDI FREDRICKS PhD
PO BOX 8252
SAN JOSE, CA 95155-8252
Phone number: 408-315-0645
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