| Doctor Name: | MS. LAVONNE FREEMAN |
| NPI Number: | 1164723144 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W.-R |
| License Number: | 1025796 |
| Business Practice Address: | 433 Delaware Ave Delmar, NY - 120543006 |
| Business Phone Number: | 5187285746 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5847, ALBANY |
| State: | NY |
| Postal Code: | 122050847 |
| Phone Number: | 5187285746 |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2010 |
| NPI Last Update Date: | 10/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1025796 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |