| Katie Woodruff Freeman, Llc | |
|
221 N East Ave Ste 101 Fayetteville AR 72701-5226 | |
| (479) 957-0189 | |
| (479) 431-2548 |
| Full Name | Katie Woodruff Freeman, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 221 N East Ave Ste 101, Fayetteville, Arkansas |
| Authorized Official Name and Position | Katie Freeman (THERAPIST/OWNER) |
| Authorized Official Contact | 4799570189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Woodruff Freeman, Llc 221 N East Ave Ste 101 Fayetteville AR 72701-5226 Ph: (479) 957-0189 | Katie Woodruff Freeman, Llc 221 N East Ave Ste 101 Fayetteville AR 72701-5226 Ph: (479) 957-0189 |
| NPI Number | 1366611956 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366611956 | NPI | - | NPPES |
| 5A356 | Other | AR | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1974-C (Arkansas) | Primary |
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