Individual
MRS. LATIFA IBRAHIM SWERI-FAKHOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
175 LANCASTER ST STE 218A, PORTLAND, ME 04101-2451
(207) 669-7580
Mailing address
7 SILVER BROOK CIR, SCARBOROUGH, ME 04074-8469
(267) 441-7800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4795
ME
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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