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Individual

FREDERICK R SARAVIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPA

Contact information

Practice address
2595 S 17TH ST, WILMINGTON, NC 28401-7748
(910) 799-2283
(910) 791-9227
Mailing address
1907 S 17TH ST, SUITE 1, WILMINGTON, NC 28401-6626
(910) 343-8424
(910) 343-6989

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1770
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201516C
MEDICARE IND
NC
Enumeration date
03/14/2007
Last updated
12/11/2007
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