Individual
FREDRICKA MARIE CARRIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 HOWARD ST, SAN FRANCISCO, CA 94103-2820
(415) 252-4788
(415) 864-4530
Mailing address
115 10TH ST, SAN FRANCISCO, CA 94103-2604
(415) 410-5284
(415) 864-4530
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
01/24/2022
Last updated
10/28/2025
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