Individual
KATHERINE FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCISW
Contact information
Practice address
9130 PARK AVE, SEMMES, AL 36575-5322
(251) 222-1948
Mailing address
9130 PARK AVE, SEMMES, AL 36575-5322
(251) 222-1948
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1328C
AL
Other
Enumeration date
02/21/2017
Last updated
08/10/2023
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