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Contact Information

KELSEY FREDENBERG
20331 FLANAGAN ROAD
TRABUCO CANYON, CA92679
 Phone: 818-582-8832
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KELSEY FREDENBERG · (Female)

NPI # 1063298842
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2023
Last updated 12/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 123347
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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