MICHAEL G FREDERICK

TERRYTOWN, LA
NPI1972839678
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  2750)
Enumeration Date2009-10-30
Last Update Date2012-02-10
Business Address
Mr. MICHAEL G FREDERICK MSW, LCSW
1581 CAROL SUE AVE SUITE212
TERRYTOWN, LA 70056-5100
Phone number: 504-762-9829
Mailing Address
Mr. MICHAEL G FREDERICK MSW, LCSW
1904 CEDARWOOD AVE
TERRYTOWN, LA 70056-2714
Phone number: 504-762-9829
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