Individual
LAUREN FREEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N 9TH ST, RICHMOND, VA 23219-1933
(804) 780-7312
Mailing address
301 N 9TH ST, RICHMOND, VA 23219-1933
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000666
VA
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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