Individual
HEATHER A FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
631 N CEDAR AVE, OWATONNA, MN 55060-2323
(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
20139
MN
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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