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General NPI Number Information
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NPI Number | 1710161286
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Entity Type | Organization
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Legal Business Name | NANCY W. FREELAND, LCSW, PLLC
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 650 OFFICERS ROW
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City | VANCOUVER
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State | WA
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Zip | 98661-3836
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Country | US
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Telephone | 360-695-3012
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Fax | 360-574-6979
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Provider Business Mailing Address
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Address Line | 650 OFFICERS ROW
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City | VANCOUVER
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State | WA
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Zip | 98661-3836
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Country | US
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Telephone | 360-695-3012
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Fax | 360-574-6979
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. NANCY W FREELAND
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Credential | LCSW
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Telephone | 360-695-3012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4668
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License Number State | WA
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