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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY LAVINA FREDRICKS, LCSW

Active Sole Proprietor

MARY LAVINA FREDRICKS, LCSW is a Clinical Social Worker healthcare provider located in LIVERMORE FALLS, Maine. NPI 1376510412 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LIVERMORE FALLS, ME

Registration Details

NPI Number
1376510412
Provider Type
Individual
Gender
Female
NPI Issued
Mar 8, 2006 (20.255462404134 yrs)
Last Updated
Nov 15, 2012
License
ME129365 (ME)
Sole Proprietor
Yes

Practice Information

Address
38 UNION ST
LIVERMORE FALLS, ME, 04254
Browse ME providers · Browse ZIP 04254
Phone
2078976601
Fax
2078974339
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LIVERMORE FALLS, ME

Name Credential NPI
SHARON NEIL LCSW 1356352272
KAREN BARNES LCSW, LADC 1023200854
MRS. BRIDGET EATON LCSW, LADC 1912137480
MISS DANIELLE DELINA LUDWIG PEASE LMSW 1184193518
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.