Individual
SAMANTHA FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 W 5TH ST, RENO, NV 89503-4407
(775) 786-4673
Mailing address
580 W 5TH ST, RENO, NV 89503-4407
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IC-2230
NV
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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