Organization
KATIE WOODRUFF FREEMAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE FREEMAN LCSW (THERAPIST/OWNER)
(479) 957-0189
Entity
Organization
Contact information
Practice address
221 N EAST AVE STE 101, FAYETTEVILLE, AR 72701-5226
(479) 957-0189
(479) 431-2548
Mailing address
221 N EAST AVE STE 101, FAYETTEVILLE, AR 72701-5226
(479) 957-0189
(479) 443-9554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1974-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5A356
BLUECROSS BLUESHIELD
AR
Enumeration date
02/27/2008
Last updated
04/10/2023
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