Individual
JILL FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
622 TOLEDO AVE, MONROE, MI 48161-1624
(734) 777-3177
Mailing address
622 TOLEDO AVE, MONROE, MI 48161-1624
(734) 777-3177
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801102380
MI
104100000X
Social Worker
Primary
6851102380
MI
Other
Enumeration date
05/21/2018
Last updated
08/15/2023
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