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Audrey Frederickson, PSY D
NPI 1689681298 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5200 Maywood Rd
Suite 202
Mound, MN 55364 - Phone
- (952) 472-2408
- Fax
- (952) 495-1409
- Organisation at this address
- J M Baldus, Inc
Sojourn Adult Day Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Clinical Psychologist
103TC0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota