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Individual
MR. MICHAEL JAMES FREAS
Active
Individual
MR. MICHAEL JAMES FREAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I885
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
388826
ANTHEM
OH
01
—
399819126004
MED MUTUAL HMO HEALTH OH
OH
01
—
70859
QUAL CHOICE
OH
Enumeration date
11/08/2006
Last updated
07/08/2007
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