Individual
MARK FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PPS SP, PPS SCG
Contact information
Practice address
3751 W AVENUE 40, LOS ANGELES, CA 90065-3631
(818) 648-6777
Mailing address
3751 W AVENUE 40, LOS ANGELES, CA 90065-3631
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
170047142
CA
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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