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Individual

MRS. STEPHANIE PAIGE FREDERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
2227 DRAKE AVE SW, HUNTSVILLE, AL 35805-5199
(256) 881-1311
Mailing address
2227 DRAKE AVE SW, HUNTSVILLE, AL 35805-5199
(256) 881-1311

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5814C
AL
101YA0400X
Addiction (Substance Use Disorder) Counselor
C018101
NC

Other

Enumeration date
08/07/2024
Last updated
04/14/2026
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