Individual
JESSE FREDERIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1012 14TH ST NW, SUITE 1000, WASHINGTON, DC 20005-3406
(202) 737-2554
Mailing address
2223 BEDFORD DR, ANDREWS AIR FORCE BASE, MD 20762-5410
(702) 370-6277
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50079417
DC
Other
Enumeration date
03/31/2012
Last updated
03/31/2012
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