Individual
MS. KATHRYN FRECKLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 N LINDEN ST, APT L108, NORMAL, IL 61761-5321
(309) 224-2609
Mailing address
2000 N LINDEN ST, APT L108, NORMAL, IL 61761-5321
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
01/20/2011
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