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Individual

KATE JEANINE FREDENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, CDP

Contact information

Practice address
4060 E STEVENS WAY NE, SEATTLE, WA 98195-0001
(206) 543-5030
(206) 543-4716
Mailing address
UNIVERSITY OF WASHINGTON, BOX 354410, SEATTLE, WA 98195-4410
(206) 543-5030
(206) 543-4716

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP 60312408
WA
1041C0700X
Clinical Social Worker
Primary
LW 60489091
WA

Other

Enumeration date
01/12/2012
Last updated
11/01/2016
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