Individual
NANETTE ARONE FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
310 N MICHIGAN ST STE 204, PLYMOUTH, IN 46563-1774
(574) 936-3031
(866) 311-5621
Mailing address
310 N MICHIGAN ST STE 204, PLYMOUTH, IN 46563-1774
(574) 936-3031
(866) 311-5621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002112A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200942750A
—
IN
Enumeration date
06/24/2005
Last updated
01/04/2011
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