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General NPI Number Information
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NPI Number | 1497631758
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Entity Type | Individual
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Provider Name | ASHLEY JO FREEMAN LLMSW, EMT-B
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 3901 CHRYSLER DR
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City | DETROIT
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State | MI
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Zip | 48201-2167
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Country | US
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Telephone | 313-993-3964
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Fax |
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Provider Business Mailing Address
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Address Line | 9485 LIGHTHOUSE DR
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City | IRA
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State | MI
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Zip | 48023-2828
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Country | US
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Telephone | 586-872-7008
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 2000348
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6851120380
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License Number State | MI
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