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Individual

MRS. AIMEE NICOLE FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1120 TARBY RD, STIGLER, OK 74462-0179
(918) 967-3368
(918) 967-3351
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(918) 967-3368
(918) 967-3351

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6085
OK
1041C0700X
Clinical Social Worker
Primary
7198
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200720480A
OK
Enumeration date
09/23/2014
Last updated
11/29/2021
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