JEAN M FREDRICKSON

NEWPORT, OR
NPI1083973366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L3255)
Enumeration Date2012-05-08
Last Update Date2012-05-08
Business Address
-- JEAN M FREDRICKSON LCSW
930 SW ABBEY ST
NEWPORT, OR 97365-4820
Phone number: 541-574-1811
Mailing Address
-- JEAN M FREDRICKSON LCSW
930 SW ABBEY ST
NEWPORT, OR 97365-4820
Phone number: 541-574-1811