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1366193385
ELIJAH L FREEMAN
MENASHA, WI
NPI
1366193385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 5175)
Enumeration Date
2022-01-11
Last Update Date
2022-01-11
Business Address
ELIJAH L FREEMAN MS, LPC-IT
1810 APPLETON RD
MENASHA, WI 54952-1164
Phone number: 920-739-4226
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Mailing Address
ELIJAH L FREEMAN MS, LPC-IT
PO BOX 22308
GREEN BAY, WI 54305-2308
Phone number: 920-436-6800
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