Individual
MACKENZIE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 ROUNDS DR, FENTON, MI 48430-1724
(810) 629-0530
Mailing address
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025-2454
(248) 712-4266
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
06/09/2023
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