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Individual
DR. KENELLE CORINE FREEMAN
Active
Individual
DR. KENELLE CORINE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34007505A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71016387A
IN
Other
Enumeration date
03/31/2011
Last updated
03/07/2025
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