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1083973366
JEAN M FREDRICKSON
NEWPORT, OR
NPI
1083973366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3255)
Enumeration Date
2012-05-08
Last Update Date
2012-05-08
Business Address
-- JEAN M FREDRICKSON LCSW
930 SW ABBEY ST
NEWPORT, OR 97365-4820
Phone number: 541-574-1811
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Mailing Address
-- JEAN M FREDRICKSON LCSW
930 SW ABBEY ST
NEWPORT, OR 97365-4820
Phone number: 541-574-1811
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