Individual provider · Type 1 NPI

Charlene Frederick

School Social Worker · Ruidoso, NM

NPI number 1760550727 Active

Practice location

1400 Sudderth Dr
Ruidoso, NM 88345-6103

Call (505) 257-2368 Map

Fax (505) 257-2141

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200XI0638 (NM)

School Social Worker: Definition to come...

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About NPI 1760550727

Charlene Frederick's National Provider Identifier is 1760550727, issued on Nov 30, 2006. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Ruidoso, NM. The record was last updated on Jul 9, 2007.