Individual
ANDREW FREDERIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLBSW
Contact information
Practice address
200 W SPRING ST, MARQUETTE, MI 49855-4661
(906) 225-1181
Mailing address
200 W SPRING ST, MARQUETTE, MI 49855-4661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6852093942
MI
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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