Judith Jan Fradenburg MSW LCSW

NPI 1083924203 - Social Worker - 1041C0700X

NPI Details
NPI 1083924203
Gender Female
Enumeration Date 10/21/2010
Last Updated 10/21/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2962 YOUTH UNLIMITED DR
SOPHIA NC, 27350-8481, US
Phone (336) 861-9243
Fax (336) 861-9253
Business Location
2962 YOUTH UNLIMITED DR
SOPHIA NC, 27350-8481, US
Phone (336) 861-9243
Fax (336) 861-9253
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number C007014
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According to our database, Ms. Judith Jan Fradenburg MSW LCSW NPI is 1083924203, taxonomy code is 1041C0700X and license number is C007014, license state is located at North Carolina. Judith Jan Fradenburg MSW LCSW physically located at 2962 Youth Unlimited Dr, Sophia NC, 27350-8481. NPI Number Judith Jan Fradenburg MSW LCSW has the Individual type.

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1083924203 NPI number is provided on an as is basis without warranty of any kind. 1083924203 is maintained by the National Plan & Provider Enumeration System. The contents of Judith Jan Fradenburg MSW LCSW are for informational purposes only.