Sophia Lust

NPI #1063872844 in Bellevue, Washington

Provider Information

NPI Number: 1063872844
Entity Type: Individual
Name: Sophia Lust
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Mar 7, 2016
Last Updated: Mar 7, 2016

Practice Location

Address: 11711 SE 8TH ST
Address 2: SUITE 315
City: Bellevue
State: Washington
ZIP Code: 98005-3543
Phone: (425) 998-7215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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