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Individual

EJATOU SOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2119 2ND AVE, SEATTLE, WA 98121-2207
(206) 461-6923
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
(206) 901-2010

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/09/2020
Last updated
06/09/2020
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