Organization
ROBERT M. FREDRICK, LCSW,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT M FREDRICK MSW (PRESIDENT)
(404) 636-1108
Entity
Organization
Contact information
Practice address
2801 BUFORD HWY NE, SUITE 508, ATLANTA, GA 30329-2149
(404) 636-1108
(404) 636-9482
Mailing address
2801 BUFORD HWY NE, SUITE 508, ATLANTA, GA 30329-2149
(404) 636-1108
(404) 636-9482
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000144
GA
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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