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1669142618
TIMOTHY KIMBLE FREEMAN
EDEN PRAIRIE, MN
NPI
1669142618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-09-20
Last Update Date
2021-09-21
Business Address
TIMOTHY KIMBLE FREEMAN MHP
6533 FLYING CLOUD DR STE 200
EDEN PRAIRIE, MN 55344-3335
Phone number: 612-703-6320
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Mailing Address
TIMOTHY KIMBLE FREEMAN MHP
5857 XERXES AVE S
MINNEAPOLIS, MN 55410-2818
Phone number: 612-703-6320
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