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Individual

RICHARD MARTIN FRIDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
501 ADESSA PKWY, SUITE A-150, LENOIR CITY, TN 37771-6725
(865) 986-8082
(865) 986-5890
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6303 (LCSW)
TN
1041C0700X
Clinical Social Worker
9060
TN

Other

Enumeration date
12/28/2012
Last updated
03/17/2016
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