Individual
MIRRANDA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 BULL FROG LN, ELKTON, MD 21921-7758
(443) 466-5782
Mailing address
15 BULL FROG LN, ELKTON, MD 21921-7758
(443) 466-5782
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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