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EMMANUEL FREEMAN

Mental Retardation & Developmental Disabilities >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1619575990

Individual Registrant:
 EMMANUEL  FREEMAN 
Gender: M
Sole Proprietor

Location and contact information for practice:
92 E RADISON RUN  CLAYTON, DE 19938-3849 US
Tel: 215-275-7679  Fax: --

Contact information for business:
92 E RADISON RUN  CLAYTON, DE 19938-3849 US
Tel: 215-275-7679  Fax: --

Registration Information:
NPI: 1619575990
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TM1800XBehavioral Health & Social Service Providers
Psychologist
Mental Retardation & Developmental Disabilities
DE

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
250568456DE05




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