Individual
REBECCA NICOLE FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, PMH-C
Contact information
Practice address
1075 SMITH ST STE 2, PROVIDENCE, RI 02908-2700
(401) 369-9224
(401) 369-9275
Mailing address
1075 SMITH ST STE 2, PROVIDENCE, RI 02908-2700
(401) 369-9224
(401) 369-9275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW04082
RI
Other
Enumeration date
07/01/2024
Last updated
08/07/2024
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