Individual
MARY ANN FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-PIP
Contact information
Practice address
1601 MOUNT RUSHMORE RD STE 3, #202, RAPID CITY, SD 57701
(210) 846-9037
Mailing address
1601 MOUNT RUSHMORE RD STE 3, #202, RAPID CITY, SD 57701
(210) 846-9037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2423
SD
Other
Enumeration date
01/14/2010
Last updated
02/03/2025
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