Individual
JACOB R FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E CENTRAL AVE, SPOKANE, WA 99208-1108
(360) 340-0022
Mailing address
15720 E 4TH AVE APT D303, SPOKANE VALLEY, WA 99037-9045
(406) 214-5692
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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