Provider Information for 1225217557
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FREETTA NELSON HEMPHILL LCSW
Sex: Female
NPI: 1225217557
Last Updated: 2007-11-02
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1225217557 | ||||||||
| Enumeration Date | 2007-11-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 425 W BROADWAY ST SUITE C NORTH LITTLE ROCK, AR 72114-5521 United States Phone: 501-658-6803 | Fax:501-374-1458 | ||||||||
| Primary Practice Address | 425 W BROADWAY ST SUITE C NORTH LITTLE ROCK, AR 72114-5521 United States Phone: 501-658-6803 | Fax:501-374-1458 | ||||||||
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