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Individual

MISS SHELLEY L FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1028 ASH RIDGE RD, LASCASSAS, TN 37085-1400
(931) 636-9466
Mailing address
1028 ASH RIDGE RD, LASCASSAS, TN 37085-1400
(931) 636-9466

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT89643
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2220
TN LICENSE
TN
Enumeration date
08/12/2011
Last updated
03/21/2024
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