Sofia Moen, LCGC
Genetic Counselor, MS in Bellevue, WA. Individual provider (NPI-1).
NPI number1407456973
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1407456973
- Entity type
- Individual (NPI-1)
- Name
- Sofia Moen
- Credential
- LCGC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2020
- Certification date
- Oct 7, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 170300000X | Genetic Counselor, MS | GT61104402 | WA | Yes |
Practice location
1110 112th Ave Ne Ste 100Bellevue, WA 98004-4509
Phone 425-749-3327
Mailing address
1110 112th Ave Ne Ste 100Bellevue, WA 98004-4509
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