Stacey Lynn Fredericks

NPI #1023360989 in Oak Lawn, Illinois

Provider Information

NPI Number
1023360989
Entity Type
Individual
Name
Stacey Lynn Fredericks
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Enumeration Date
Oct 2, 2012
Last Updated
Feb 28, 2023

Practice Location

Address
4700 W 95TH ST STE 205
ZIP Code
60453-2574
Phone
(708) 684-7999

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Social Worker - ClinicalClinical

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