Individual
ANGELA M FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
203 UNITED WAY, FREDERIC, WI 54837-8938
(715) 327-4402
(728) 327-8509
Mailing address
203 UNITED WAY, FREDERIC, WI 54837-8938
(715) 327-4402
(728) 327-8509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43711300
—
WI
Enumeration date
02/27/2007
Last updated
12/07/2007
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