Individual
ALAINE KIERA FREDERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 655-1185
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118889
MA
Other
Enumeration date
08/08/2011
Last updated
01/08/2016
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