Individual
FREDERICK J ALBERTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
65 MESSIMER DR, NEWARK, OH 43055-1874
(740) 522-8477
(740) 522-2941
Mailing address
65 MESSIMER DR, NEWARK, OH 43055-1874
(740) 522-8477
(740) 522-2941
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S002712
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200008
—
OK
Enumeration date
07/26/2007
Last updated
07/26/2007
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