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Individual

MR. FREDERICK DEAN WEGENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. DIV., M. S.

Contact information

Practice address
1614 S MILDRED ST, SUITE B, TACOMA, WA 98465-1626
(253) 564-4233
(253) 564-9451
Mailing address
1109 N CEDAR ST, TACOMA, WA 98406-6311
(253) 752-9112

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00000983
WA

Other

Enumeration date
08/10/2006
Last updated
07/08/2007
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