Mick Fredrickson, LCSW

NPI #1104180520 in Albany, Oregon

Provider Information

NPI Number: 1104180520
Entity Type: Individual
Name: Mick Fredrickson, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 29, 2012
Last Updated: Apr 14, 2021

Practice Location

Address: 425 2ND AVE SW STE 102
City: Albany
State: Oregon
ZIP Code: 97321-2483
Phone: (541) 286-3209

Specialties & Taxonomy Codes

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

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