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Individual

MRS. ELLINA BOKOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14040 SE 10TH ST, BELLEVUE, WA 98007-5411
(425) 223-8361
Mailing address
160 NEWPORT WAY NW APT F48, ISSAQUAH, WA 98027-3107
(425) 223-8361

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60817629
WA
106H00000X
Marriage & Family Therapist

Other

Enumeration date
11/06/2017
Last updated
12/05/2023
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