MR. GARY FREDERICKSEN, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1700950557
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | No | LW00004165 (WA) |
| Social Worker - Clinical | 1041C0700X | Yes | LW00004165 (WA) |
Frequently Asked Questions
NPI 1700950557 is the National Provider Identifier for MR. GARY FREDERICKSEN, LICSW, a Social Worker - Clinical provider located in Lacey, WA. This NPI was enumerated on November 20, 2006.
MR. GARY FREDERICKSEN, LICSW practices at 4422 6TH AVE SE, Lacey, WA 98503.
Quick Facts
- NPI
- 1700950557
- Type
- Individual
- Enumerated
- Nov 20, 2006
- Last Updated
- Jul 20, 2007
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