Individual
AMANDA ANN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38950 BLACOW RD STE D, FREMONT, CA 94536-7379
(213) 433-7969
Mailing address
38950 BLACOW RD STE D, FREMONT, CA 94536-7379
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
01/24/2024
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