Individual
JACK FREEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 FRIEDBERG CHURCH RD, WINSTON SALEM, NC 27127-9803
(336) 251-1180
Mailing address
979 WELLINGTON RD, WINSTON SALEM, NC 27106-5622
(336) 529-8163
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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