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1477257046
SOPHIA KIM
LAKEWOOD, WA
NPI
1477257046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61426349)
Enumeration Date
2023-03-28
Last Update Date
2023-08-08
Business Address
SOPHIA KIM
9100 BRIDGEPORT WAY SW
LAKEWOOD, WA 98499-2427
Phone number: 253-302-3826
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Mailing Address
SOPHIA KIM
9100 BRIDGEPORT WAY SW
LAKEWOOD, WA 98499-2427
Phone number: 253-302-3826
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