Provider Information for 1790823367
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Mrs. DANA DAVIS FREEMAN LCSW
Other Names:Former Name:Ms. DANA LYNNE DAVIS LCSWSex: Female
NPI: 1790823367
Last Updated: 2011-04-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1790823367 | ||||||||
| Enumeration Date | 2007-02-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 970 W MCNAB ROAD SUITE 120 FT LAUDERDALE, FL 33309-2172 United States Phone: 954-560-5127 | Fax: | ||||||||
| Primary Practice Address | 970 W MCNAB RD SUITE 120 FT LAUDERDALE, FL 33309-1115 United States Phone: 954-560-5127 | Fax: | ||||||||
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