Individual
CAROL FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2140 8TH ST STE C, MANDEVILLE, LA 70471-1924
(985) 377-5722
Mailing address
429 CHATEAU GRIMALDI, MANDEVILLE, LA 70471-8516
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1177
LA
Other
Enumeration date
12/07/2011
Last updated
08/16/2012
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