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ARTHUR WAYNE FREDERICK M.S.W., L.C.S.W.

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1780931261

Individual Registrant:
 ARTHUR WAYNE FREDERICK M.S.W., L.C.S.W.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1800 DONNA AVE  LOS OSOS, CA 93402-2508 US
Tel: 805-123-4567  Fax: --

Contact information for business:
PO BOX 6477  LOS OSOS, CA 93412-6477 US
Tel: --  Fax: --

Registration Information:
NPI: 1780931261
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
CALCS10732

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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