Individual
CONNOR FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3308 WYOMING BLVD NE APT 14B, ALBUQUERQUE, NM 87111-9440
(505) 933-3762
Mailing address
3308 WYOMING BLVD NE APT 14B, ALBUQUERQUE, NM 87111-9440
(505) 933-3762
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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