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1912551615
MALIA JEANNE FREDRICKSON
MIDDLETOWN, NY
NPI
1912551615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 1030141)
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
Ms. MALIA JEANNE FREDRICKSON LMSW
15 FORTUNE RD W
MIDDLETOWN, NY 10941-1625
Phone number: 845-673-7123
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Mailing Address
Ms. MALIA JEANNE FREDRICKSON LMSW
15 FORTUNE RD W
MIDDLETOWN, NY 10941-1625
Phone number:
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