Individual
BROOKLYNN J FREDERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2575 HARVEST LN, OWATONNA, MN 55060-4305
(507) 446-0431
(507) 446-8014
Mailing address
PO BOX 977, OWATONNA, MN 55060-0977
(507) 446-0431
(507) 446-8014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22680
MN
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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