Individual
JON FREDERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3000 CONNECTICUT AVE NW, SUITE 400, WASHINGTON, DC 20008-2509
(202) 986-4575
(202) 333-3217
Mailing address
1844 47TH PL NW, WASHINGTON, DC 20007-1909
(202) 986-4575
(202) 333-3217
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC301869
DC
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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