Individual
MS. JILLIAN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
460 W 34TH ST, 2ND FLOOR, NEW YORK, NY 10001-2382
(212) 420-0510
Mailing address
460 W 34TH ST, 2ND FLOOR, NEW YORK, NY 10001-2382
(212) 420-0510
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
0811581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0811581
SOCIAL WORK LICENSE
NY
Enumeration date
11/21/2011
Last updated
11/21/2011
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