Individual
LAWANA FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 CHIPCO ST, TAMPA, FL 33605-1550
(813) 938-9588
Mailing address
3205 CHIPCO ST, TAMPA, FL 33605-1550
(813) 938-9588
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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