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1346850112
MARINA DESOUZA
LAKEWOOD, WA
NPI
1346850112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
MARINA DESOUZA
9720 S TACOMA WAY
LAKEWOOD, WA 98499-4456
Phone number: 253-304-7753
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Mailing Address
MARINA DESOUZA
15 OREGON AVE STE 308
TACOMA, WA 98409-7462
Phone number: 253-304-7753
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