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Individual
AMY LEE FREDETTE
Active
Individual
AMY LEE FREDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRSW, LDAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0205
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1522
NH
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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