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General NPI Number Information
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NPI Number | 1811557770
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Entity Type | Organization
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Legal Business Name | FREESE COUNSELING LLC
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 128 PLAZA CIRCLE
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City | WATERLOO
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State | IA
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Zip | 50701
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Country | US
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Telephone | 319-830-1132
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Fax |
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Provider Business Mailing Address
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Address Line | 128 PLAZA CIR
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City | WATERLOO
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State | IA
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Zip | 50701-5139
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Country | US
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Telephone | 319-231-4202
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Fax | 319-233-1751
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Authorized Official
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Title or Position | LISW
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Name | ELIZABETH FREESE
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Credential |
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Telephone | 319-231-4202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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