Individual
MS. SOONBOK KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
9100 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-2427
(253) 302-3826
Mailing address
9100 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-2427
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WA
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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