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Individual

FREDRICK AMALRAJ DEVARAJ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7316 BALSON AVE, UNIVERSITY CITY, MO 63130-2901
(636) 432-4783
Mailing address
7316 BALSON AVE, UNIVERSITY CITY, MO 63130-2901
(636) 432-4783

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2025023403
MO

Other

Enumeration date
06/24/2025
Last updated
06/24/2025
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