Stacey Lynn Fredericks
Stacey Lynn Fredericks is a Student in an Organized Health Care Education/Training Program in Oak Lawn, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
Oak Lawn, ILNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149.025334 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1023360989 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 2, 2012 |
| Last updated in NPPES | February 28, 2023 |
| Certification date | February 28, 2023 |
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Dr. Fernando Flores-Mendez, MD
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Dr. Jonah Albert Frueh, MD
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Paula Patricia Gamero Kubota, MD
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Alexandra Gary, DO
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Dr. Kristina Laura Giddens, DO
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