Provider Information for 1285922757
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Ms. ELLEN FRIEDMAN LMHC
Other Names:Former Name:ELLEN GERACE LMHCSex: Female
NPI: 1285922757
Last Updated: 2024-12-01
Certification Date: 2024-12-01
Certification Date: 2024-12-01
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1285922757 | ||||||||||||||||||||
| Enumeration Date | 2011-07-18 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 5039 GLADSTONE DR CONWAY, SC 29526-2657 United States Phone: 315-558-9353 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 5039 GLADSTONE DR CONWAY, SC 29526-2657 United States Phone: 315-558-9353 | Fax: | ||||||||||||||||||||
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