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Individual

HEATHER MICHELLE FREDERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11408 LAKE SHERWOOD AVE N STE A, BATON ROUGE, LA 70816-0421
(225) 261-7143
Mailing address
10213 CASHEL AVE, BATON ROUGE, LA 70815-4472

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/16/2024
Last updated
12/16/2024
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