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Individual

TAMMY DARLENE SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2150 FREEMAN RD E, FIFE, WA 98424-3776
(253) 942-4722
(253) 922-4722
Mailing address
2701 N 16TH ST STE 316, PHOENIX, AZ 85006-1266

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CG60265779
WA

Other

Enumeration date
08/19/2021
Last updated
07/11/2023
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