Andrew Jacob Freeman M.S.W., SAC-IT

NPI 1710309059 - Counselor - 101YA0400X

NPI Details
NPI 1710309059
Gender Male
Enumeration Date 01/06/2014
Last Updated 01/06/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1626 CLARENCE CT
WEST BEND WI, 53095-8533, US
Phone (262) 338-8611
Fax (262) 338-3367
Business Location
1626 CLARENCE CT
WEST BEND WI, 53095-8533, US
Phone (262) 338-8611
Fax (262) 338-3367
Toxanomy
Taxonomy Code 101YA0400X
License State Wisconsin
License Number 17043-130
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According to our database, Mr. Andrew Jacob Freeman M.S.W., SAC-IT NPI is 1710309059, taxonomy code is 101YA0400X and license number is 17043-130, license state is located at Wisconsin. Andrew Jacob Freeman M.S.W., SAC-IT physically located at 1626 Clarence Ct, West Bend WI, 53095-8533. NPI Number Andrew Jacob Freeman M.S.W., SAC-IT has the Individual type.

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1710309059 NPI number is provided on an as is basis without warranty of any kind. 1710309059 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew Jacob Freeman M.S.W., SAC-IT are for informational purposes only.