Individual
JENNIFER MAE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 YAUGER WAY SW, OLYMPIA, WA 98502-8660
(360) 515-8012
Mailing address
800 YAUGER WAY SW UNIT K201, OLYMPIA, WA 98502-8349
(360) 515-8012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WA
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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