Individual
DR. LYNN MARIE FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
421 GARDNER BLVD., HOLLY HILL, SC 29059-0100
(803) 496-9000
(803) 496-9009
Mailing address
201 BOTANY BAY CT, CHARLESTON, SC 29418-3046
(843) 297-1910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3346
SC
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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