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Individual

DEEMA SOUFAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
9307 BAY SHORE DR NW # 304, SILVERDALE, WA 98383-8219
(206) 635-9006
Mailing address
2108 NW RUSTLING FIR LN, SILVERDALE, WA 98383-7867
(708) 870-0312

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.015627
IL

Other

Enumeration date
01/24/2020
Last updated
03/11/2024
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