Provider Information for 1316210313
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NAEEMAH EFURU-MUNIRAH JOHNSON MSW
Sex: Female
NPI: 1316210313
Last Updated: 2019-11-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1316210313 | ||||||||
| Enumeration Date | 2012-02-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 500 MONROE AVE NE APT C-4 RENTON, WA 98056-3903 United States Phone: 425-306-5245 | Fax: | ||||||||
| Primary Practice Address | 917 N CLEVELAND ST APT B KENNEWICK, WA 99336-1477 United States Phone: 509-366-7945 | Fax: | ||||||||
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