Individual
CONNOR FREED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LD
Contact information
Practice address
1204 CREEKVIEW LN, MORGANTOWN, WV 26508-6269
(043) 893-4916
Mailing address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1558
WV
Other
Enumeration date
09/11/2024
Last updated
12/02/2024
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