Individual
ANDREW JAY FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
445 CYPRESS ST STE 7, MANCHESTER, NH 03103
(603) 663-8650
Mailing address
445 CYPRESS ST STE 7, MANCHESTER, NH 03103-3600
(603) 663-8650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
838
NH
Other
Enumeration date
06/24/2006
Last updated
02/21/2019
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