Matthew Richard Frederick, LCSW

NPI #1184646432 in Maumelle, Arkansas

Provider Information

NPI Number
1184646432
Entity Type
Individual
Name
Matthew Richard Frederick, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jul 24, 2006
Last Updated
Mar 23, 2016

Practice Location

Address
2001 CLUB MANOR DR STE J
ZIP Code
72113-7417
Phone
(501) 687-0488

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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