Individual
MS. CAROL ANN FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DRIVE, PLAINVILLE, CT 06062
(860) 916-3695
Mailing address
11 ROSEDALE RD, WEST HARTFORD, CT 06107-2929
(860) 916-3695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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