Individual
KAYLA LANE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4361 S CONGRESS AVE UNIT 102, AUSTIN, TX 78745-1289
(512) 710-5751
Mailing address
3505 S LAMAR BLVD APT 2061, AUSTIN, TX 78704-7975
(312) 465-6055
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105280
TX
Other
Enumeration date
07/10/2021
Last updated
07/10/2021
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