MICK FREDRICKSON

ALBANY, OR
NPI1104180520
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L6743)
Enumeration Date2012-06-29
Last Update Date2021-04-14
Business Address
MICK FREDRICKSON LCSW
425 2ND AVE SW STE 102
ALBANY, OR 97321-2483
Phone number: 541-286-3209
Mailing Address
MICK FREDRICKSON LCSW
425 2ND AVE SW STE 102
ALBANY, OR 97321-2483
Phone number: 541-286-3209