Individual
ANGELA FREDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5072 W PLANO PKWY, SUITE 100, PLANO, TX 75093-4476
(972) 818-3888
Mailing address
2626 PRINCEWOOD DR, GARLAND, TX 75040-8704
(214) 235-6679
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
50070
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50070
LICENSE
TX
Enumeration date
08/03/2011
Last updated
08/04/2011
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