Mrs. HANNAH LANE FREDRICKS LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1760229744- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 625 E BROADWAY AVE, JACKSON, WY, 830018642
- Phone
- (307) 739-6124
Specialties & Taxonomies
Social Worker, Clinical
Primary License: WY #LCSW-1681