Individual
MS. AQUILLA FREDERICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.B.A., L.M.S.W.
Contact information
Practice address
240 E 59TH ST, NEW YORK, NY 10022-1475
(212) 421-0473
(212) 644-9803
Mailing address
240 E 59TH ST, NEW YORK, NY 10022-1475
(212) 421-0473
(212) 644-9803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R062257-1
NY
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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