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Individual

SHEEBA FAZILI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
8801 EAST, 63 RD STREET, RAYTOWN, SUITE 101, MISSOURI, KS 64133
(816) 368-2000
Mailing address
12609 WALMER ST, OVERLAND PARK, KS 66209-3209
(913) 339-9292

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2715
KS

Other

Enumeration date
01/08/2015
Last updated
01/08/2015
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