person
Charlene Frederick
School Social Worker in Ruidoso, New Mexico
NPI 1760550727

Charlene Frederick is a School Social Worker based in Ruidoso, NM and is specialized in School. Charlene Frederick practices in Ruidoso, NM. The NPI Number for Charlene Frederick is 1760550727 and holds a License No. I0638 (New Mexico).

The current practice location address for Charlene Frederick is 1400 Sudderth Dr, Ruidoso, NM and can be reached out via phone at 505-257-2368 and via fax at 505-257-2141.

Location: 1400 Sudderth Dr, Ruidoso, NM, 88345-6103
person
Provider Profile Details
NPI Number
1760550727
Provider Name
Charlene Frederick
Credential
Provider Entity Type
Individual
Gender
Male
Address
1400 Sudderth Dr, Ruidoso, NM, 88345-6103
Phone Number
505-257-2368
Fax Number
505-257-2141
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z8291 05 NM
institution
Provider Business Practice Location Address Details
Address
1400 Sudderth Dr
City
State
Zip
88345-6103
Phone Number
505-257-2368
Fax Number
505-257-2141
person
Provider Business Mailing Address Details
Address
1400 Sudderth Dr
City
State
Zip
88345-6103
Phone Number
505-257-2368
Fax Number
505-257-2141
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
License No.
I0638 (New Mexico)
Definition
Definition to come...
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