Individual
SHIRIN ELIZABETH MIRDAMADI TEHRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 257 PMB 12081, OLYMPIA, WA 98507-0257
(714) 625-7309
Mailing address
PO BOX 257 PMB 12081, OLYMPIA, WA 98507-0257
(714) 625-7309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC70024448
WA
Other
Enumeration date
05/09/2026
Last updated
05/09/2026
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