Individual
FREDERICKA CARDAE JIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
116 BERTRAND DR, LAFAYETTE, LA 70506
(337) 261-8781
Mailing address
116 BERTRAND DR, LAFAYETTE, LA 70506-5632
(337) 261-8781
(337) 261-8784
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW
LA
104100000X
Social Worker
LMSW
MD
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/17/2017
Last updated
04/29/2024
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