Individual
MS. CYNTHIA M FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
19 CLARISSA DR, SYOSSET, NY 11791-3712
(516) 921-4968
(516) 921-4968
Mailing address
19 CLARISSA DR, SYOSSET, NY 11791-3712
(516) 921-4968
(516) 921-4968
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
069659
NY
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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