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1902495351
RAYMOND GENE FREDRICKSON
SPOKANE, WA
NPI
1902495351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: WA SA60844789)
Enumeration Date
2021-01-11
Last Update Date
2021-01-11
Business Address
RAYMOND GENE FREDRICKSON LSWAIC, SUDPT, MSW
104 S FREYA ST
SPOKANE, WA 99202-4862
Phone number: 509-964-1590
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Mailing Address
RAYMOND GENE FREDRICKSON LSWAIC, SUDPT, MSW
104 S FREYA ST
SPOKANE, WA 99202-4862
Phone number: 509-964-1590
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