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Individual
RAYMOND GENE FREDRICKSON
Active
Individual
RAYMOND GENE FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW, SUDPT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO61137490
WA
1041C0700X
Clinical Social Worker
Primary
LW61238408
WA
Other
Enumeration date
01/11/2021
Last updated
09/08/2025
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