Amanda Sue Frederick, MSW, LCSW

NPI #1770632556 in Cabool, Missouri

Provider Information

NPI Number: 1770632556
Entity Type: Individual
Name: Amanda Sue Frederick, MSW, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, LCSW
Enumeration Date: Jan 9, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 12581 DALLAS LANE
City: Cabool
State: Missouri
ZIP Code: 65689
Phone: (417) 926-8054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Social Worker	104100000X

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