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Organization
FREDA WORTHON, M.ED LICENSE PROFESSIONAL COUNSELOR
Active
Organization
FREDA WORTHON, M.ED LICENSE PROFESSIONAL COUNSELOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FREDA ANNETTE WORTHON M.ED. (LICENSE PROFESSIONAL COUNSELOR)
(417) 881-1249
Entity
Organization
Contact information
Practice address
5793 S MICHIGAN AVE, SPRINGFIELD, MO 65810-2593
(417) 881-1249
(417) 881-1249
Mailing address
5793 S MICHIGAN AVE, SPRINGFIELD, MO 65810-2593
(417) 881-1249
(417) 881-1249
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
1999136664
MO
Other
Enumeration date
11/06/2010
Last updated
01/04/2011
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