Individual
STEPHANIE JUNE FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MBA
Contact information
Practice address
101 DINGESS ST, LOGAN, WV 25601-3603
(304) 689-4414
Mailing address
24 FRED BOWLING DR, CHAPMANVILLE, WV 25508-1209
(304) 687-4715
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
273
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15713157
CAQH
WV
Enumeration date
01/18/2022
Last updated
11/07/2024
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