Individual
KAREN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 E 139TH AVE, TAMPA, FL 33613-3420
(813) 972-2289
(813) 632-0933
Mailing address
1109 E 139TH AVE, TAMPA, FL 33613-3420
(813) 972-2289
(813) 632-0933
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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