Individual
DUANE FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC- 20374
Contact information
Practice address
11020 N TATUM BLVD STE 100, PHOENIX, AZ 85028-6072
(928) 228-5733
Mailing address
11020 N TATUM BLVD STE 100, PHOENIX, AZ 85028-6072
(928) 228-5733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-20374
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAC-20374
LAC
AZ
Enumeration date
12/27/2022
Last updated
12/27/2022
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