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1760229744
HANNAH LANE FREDRICKS
JACKSON, WY
NPI
1760229744
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Former Name
HANNAH JULIET LANE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY LCSW-1681)
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
Mrs. HANNAH LANE FREDRICKS LCSW
625 E BROADWAY AVE
JACKSON, WY 83001-8642
Phone number: 307-739-6124
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Mailing Address
Mrs. HANNAH LANE FREDRICKS LCSW
PO BOX 7005
JACKSON, WY 83002-7005
Phone number: 334-444-2420
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