NPI 1275042335

Dominic Lashay Freeman

Practitioner Case Management Agency Hernando, MS

Practice location

Address: 2744 Hwy 51 South, Hernando, MS 38632
Phone: (662) 449-1971
Mailing address: 2104 Mabyline St, Greenwood, MS 38930-6024

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1275042335
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2017
Record last updated: 21 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.