Individual
TIMOTHY FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
915 W MAIN ST STE D, RUSSELLVILLE, AR 72801-3508
(479) 208-5038
Mailing address
1903 W 2ND PL, RUSSELLVILLE, AR 72801-4611
(479) 857-2120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
2575-C
AR
Other
Enumeration date
06/30/2008
Last updated
09/07/2022
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