# L ANDERSON FRECK, LCSW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639728017
- **Authorized official:** LESLIE ANDERSON FRECK LCSW (MEMBER)
- **Authorized official phone:** (541) 215-4516

## Contact information

- **Practice address:** 374 W 12TH AVE, EUGENE, OR 97401-3449
- **Practice address phone:** (541) 215-4516
- **Mailing address:** 374 W 12TH AVE, EUGENE, OR 97401-3449
- **Mailing address phone:** (541) 215-4516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2019
- **Last updated:** 09/08/2019