Individual
LAWANDA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
107 CHURCH HILL RD STE 1A, SANDY HOOK, CT 06482-1194
(475) 323-2200
(475) 323-2201
Mailing address
107 CHURCH HILL RD STE 1A, SANDY HOOK, CT 06482-1194
(753) 232-2004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6808
CT
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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