Individual
SOPHIA LUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11711 SE 8TH ST, SUITE 315, BELLEVUE, WA 98005-3543
(425) 998-7215
Mailing address
11711 SE 8TH ST, SUITE 315, BELLEVUE, WA 98005-3543
(425) 998-7215
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60487987
WA
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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