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Individual

MRS. JENA M FREDERICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5104 DANNEEL ST, SUITE 4, NEW ORLEANS, LA 70115-4908
(504) 899-8003
Mailing address
924 DAVID DR, METAIRIE, LA 70003-5135
(225) 892-8853
(504) 736-8939

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4257
LA
1041C0700X
Clinical Social Worker
Primary
4257
LA

Other

Enumeration date
04/15/2010
Last updated
04/15/2010
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