Individual
DARLENE SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 NE LAURA LN, BELFAIR, WA 98528-9441
(360) 440-1058
Mailing address
51 NE LAURA LN, BELFAIR, WA 98528-9441
(360) 440-1058
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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