Individual
SOFIYA S ANTONOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INTERPETR
Contact information
Practice address
15216 116TH PL NE, KIRKLAND, WA 98034-4607
(425) 273-0817
Mailing address
15216 116TH PL NE, KIRKLAND, WA 98034-4607
(425) 273-0817
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
604130098
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC55748
DSHS PROFESSIANAL INTERPRETER
WA
Enumeration date
11/04/2022
Last updated
11/04/2022
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