Individual
FREDRICA A ROSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 WASHINGTON AVE N, ORTING, WA 98360-8404
(360) 893-2246
Mailing address
320 WASHINGTON AVE N, ORTING, WA 98360-8404
(360) 893-2246
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
273193C
WA
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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