Individual
JACEE SUE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 ONYX DR, GREENBRIER, AR 72058-9148
(501) 380-0028
Mailing address
1284 JOHNSON LN, DELAWARE, AR 72835-9104
(501) 242-3258
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-319084
AR
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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