Provider Information for 1548451594
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CHRIS V FREEMAN-CLARK L.I.S.W.
Sex: Male
NPI: 1548451594
Last Updated: 2007-08-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1548451594 | ||||||||
| Enumeration Date | 2007-08-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 30 E BROAD ST 11TH FL. ATTN: TONYA FASONE COLUMBUS, OH 43215-3414 United States Phone: 614-466-9930 | Fax:614-644-9116 | ||||||||
| Primary Practice Address | 1756 SAGAMORE RD NORTHFIELD, OH 44067-1086 United States Phone: 330-467-7131 | Fax: | ||||||||
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