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Individual

NICOLE FREDERICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
33 EASTMAN ST, DORCHESTER, MA 02125-2210
(617) 831-5584
Mailing address
33 EASTMAN ST, DORCHESTER, MA 02125-2210
(617) 831-5584

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MA
225A00000X
Music Therapist
Primary
MA

Other

Enumeration date
01/23/2018
Last updated
01/23/2018
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