Provider Information for 1972889368
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Ms. DONNA KIM NAFFAH LPC
Sex: Female
NPI: 1972889368
Last Updated: 2012-05-07
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1972889368 | ||||||||
| Enumeration Date | 2011-10-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1350 LEE HWY BRISTOL, VA 24201-3542 United States Phone: 276-492-3772 | Fax:276-644-9113 | ||||||||
| Primary Practice Address | 1350 LEE HWY BRISTOL, VA 24201-3542 United States Phone: 276-492-3772 | Fax:276-644-9113 | ||||||||
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