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Individual
DR. LATASHA LYNNE FREEMAN
Active
Individual
DR. LATASHA LYNNE FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
242758
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242758
NP LICENSE
AZ
Enumeration date
07/10/2020
Last updated
12/15/2020
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