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Individual

AIMEE FREDRICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, SSW

Contact information

Practice address
121 N 5TH ST W, RIVERTON, WY 82501-3453
(307) 856-6004
Mailing address
506 VILLAGE DR, RIVERTON, WY 82501-5444
(307) 851-3902

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary

Other

Enumeration date
05/25/2022
Last updated
05/25/2022
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