Provider Demographics
NPI:1972749968
Name:FREEMAN, DEBORAH WATTS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:WATTS
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10399
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28404-0399
Mailing Address - Country:US
Mailing Address - Phone:910-675-3533
Mailing Address - Fax:910-675-3533
Practice Address - Street 1:5000 LAMB'S PATH WAY
Practice Address - Street 2:
Practice Address - City:CASTLE HAYNE
Practice Address - State:NC
Practice Address - Zip Code:28404-0399
Practice Address - Country:US
Practice Address - Phone:910-675-3533
Practice Address - Fax:910-675-3533
Is Sole Proprietor?:No
Enumeration Date:2008-12-23
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC000437101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health