Carla E Fadriquela, LCSW

NPI #1003373101 in Beaverton, Oregon

Provider Information

NPI Number: 1003373101
Entity Type: Individual
Name: Carla E Fadriquela, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 25, 2019
Last Updated: Feb 25, 2019

Practice Location

Address: 2980 SW 123RD AVE
City: Beaverton
State: Oregon
ZIP Code: 97005-1325
Phone: (808) 281-4616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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