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Individual

SHAY KOHANA FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SAC-IT

Contact information

Practice address
102 W 2ND ST N, LADYSMITH, WI 54848-1338
(715) 532-9771
Mailing address
N4851 HIGHWAY 63, SPOONER, WI 54801-8675
(715) 635-4858

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20285-130
WI

Other

Enumeration date
06/14/2023
Last updated
06/14/2023
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