Individual
LAURA DIANE FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15992 STATE ROUTE 103, MOUNT BLANCHARD, OH 45867-9705
(419) 957-5602
Mailing address
15992 STATE ROUTE 103, MOUNT BLANCHARD, OH 45867-9705
(419) 957-5602
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
3203093
OH
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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