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Individual
MS. SHANNON FREEMAN
Active
Individual
MS. SHANNON FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DAC, DCEM, QIGONG
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60254073
WA
2255A2300X
Athletic Trainer
TAICHIQIGONGPROFF
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151841
NCCAOM MEMBER
WA
01
—
2019-01
ACUPUNCTURE LICENSE
ND
01
—
AC60254073
WASHINGTON STATE
WA
01
—
NQA
QIGONG PROFESSIONAL MEMBER
WA
Enumeration date
01/31/2007
Last updated
06/25/2024
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