Individual
NICOLE FREEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 BORST AVE, CENTRALIA, WA 98531-1410
(360) 330-7600
Mailing address
3651 22ND ST S, FARGO, ND 58104-6595
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61195420
WA
235Z00000X
Speech-Language Pathologist
SA19220
FL
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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