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1134495377
JESSE FREDERIKSEN
WASHINGTON, DC
NPI
1134495377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: DC LC50079417)
Enumeration Date
2012-03-31
Last Update Date
2012-03-31
Business Address
JESSE FREDERIKSEN
1012 14TH ST NW SUITE 1000
WASHINGTON, DC 20005-3406
Phone number: 202-737-2554
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Mailing Address
JESSE FREDERIKSEN
2223 BEDFORD DR
ANDREWS AIR FORCE BASE, MD 20762-5410
Phone number: 702-370-6277
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