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GARY FREDERICKSEN, LICSW

LICSW

Clinical Social Worker

NPI: 1700950557Individual

Specialties, Licenses & Credentials

Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

LW00004165(WA)
Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

LW00004165(WA)

Contact & Hours

Address
4422 6TH AVE SE
LACEY, WA 98503

Quick Facts

NPI
1700950557
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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