Individual
LAUREN R FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 AMHERST ST, WINCHESTER, VA 22601-2803
(540) 662-3888
Mailing address
11708 PAINTED HILLS LN, TAMPA, FL 33624-6347
(813) 481-8009
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LXF-0115-2879
AL
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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