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Individual

MISS JANICE ARLENE FREDERICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
21 LEGRANDE TER, WAYNE, NJ 07470-6004
(973) 694-5155
Mailing address
21 LEGRANDE TERRACE, WAYNE, NJ 07470
(973) 694-5155

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00286600
NJ

Other

Enumeration date
06/01/2009
Last updated
12/05/2023
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