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Individual

CHARITY FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3230 WISCONSIN AVE, JOPLIN, MO 64804-4029
(417) 347-7600
(417) 347-0293
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7600
(417) 347-0293

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100732380C
OK
Enumeration date
06/06/2011
Last updated
10/26/2015
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