Individual
CASEY FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 GRANITE ST, LYNN, MA 01904-2915
(781) 599-9200
Mailing address
60 GRANITE ST, LYNN, MA 01904-2915
(781) 599-9200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW227993
MA
1041C0700X
Clinical Social Worker
PENDING
MA
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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