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Individual

BRUCE FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1813 W. KIRBY AVENUE, PSYCHIATRY/PSYCHOLOGY, CHAMPAIGN, IL 61821
(217) 383-1850
(217) 383-3439
Mailing address
P.O. BOX 6002, URBANA, IL 61803-6002
(217) 326-8300

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149001591
IL

Other

Enumeration date
04/30/2007
Last updated
11/26/2013
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