Individual
DEE DEIFE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
322 FORTUYN RD, GRAND COULEE, WA 99133
(509) 633-1471
(509) 633-2148
Mailing address
BOX 564, ODESSA, WA 99159
(509) 633-1471
(509) 633-2148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00031396
WA
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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