Individual
JANET JACKSON FREDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 BRIARGATE CIR, COLUMBIA, SC 29210-6504
(205) 478-9579
Mailing address
1140 BRIARSGATE CIRCLE, COLUMBIA, SC 29210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW.14846
SC
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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