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Casey Frederick

Social Worker in Lynn, MA. Individual provider (NPI-1).

NPI number1689410045
StatusActive
Last updated in NPPESJul 5, 2024

Details

NPI
1689410045
Entity type
Individual (NPI-1)
Name
Casey Frederick
Sex
Female
Sole proprietor
No
Enumeration date
Jul 5, 2024
Certification date
Jul 5, 2024
Last updated
Jul 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerLCSW227993MAYes
1041C0700X Social Worker, ClinicalPENDINGMA

Practice location

60 Granite St
Lynn, MA 01904-2915

Phone 781-599-9200

Mailing address

60 Granite St
Lynn, MA 01904-2915

Phone 781-599-9200

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