Individual
MRS. MICKIA FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11135 GOLDENROD FERN DR, RIVERVIEW, FL 33569-2231
(540) 907-9102
Mailing address
11135 GOLDENROD FERN DR, RIVERVIEW, FL 33569-2231
(540) 907-9102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/22/2013
Last updated
10/28/2015
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