Individual
REBECCA FREEBURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
199 W BRIDGE ST, BLACKFOOT, ID 83221-2704
(208) 782-2060
Mailing address
1345 JUSTA CIR, BLACKFOOT, ID 83221-4030
(208) 244-8324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-35491
ID
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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