Individual
KRISTINE LEE FREDERICKSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 ROUTE 70 E STE R91, CHERRY HILL, NJ 08003-4207
(856) 751-0505
(888) 399-1804
Mailing address
117 CIDER PRESS DR, MULLICA HILL, NJ 08062-9481
(856) 478-0030
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06327200
NJ
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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