Provider Information for 1790124501
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Ms. LATRICIA LYNN FREEMAN LCSW
Sex: Female
NPI: 1790124501
Last Updated: 2024-09-11
Certification Date: 2024-09-11
Certification Date: 2024-09-11
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1790124501 | ||||||||||||
| Enumeration Date | 2013-06-14 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 665 RICE RD LUMBERTON, NC 28358-6379 United States Phone: 910-827-1207 | Fax: | ||||||||||||
| Primary Practice Address | 668 REV N O THOMPSON RD FAIRMONT, NC 28340-8800 United States Phone: 910-827-1207 | Fax: | ||||||||||||
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