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General NPI Number Information
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NPI Number | 1841194719
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Entity Type | Individual
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Provider Name | AMBER LEE FREDA LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 2032 MAPLE STREET
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City | CARROLLTON
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State | GA
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Zip | 30117
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Country | US
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Telephone | 470-243-4742
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Fax |
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Provider Business Mailing Address
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Address Line | 250 CEDAR HEIGHTS RD LOT 89
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City | CARROLLTON
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State | GA
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Zip | 30116-6348
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Country | US
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Telephone | 470-255-6278
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MSW013533
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW013533
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License Number State | GA
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