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1811568702
ALICIA FREDERICKSEN
FALLS CHURCH, VA
NPI
1811568702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701008836)
Enumeration Date
2021-07-02
Last Update Date
2021-07-02
Business Address
ALICIA FREDERICKSEN LPC
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-6563
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Mailing Address
ALICIA FREDERICKSEN LPC
3300 GALLOWS ROAD KRISTEN CERANIC
FALLS CHURCH, VA 22042
Phone number: 703-776-7765
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