Individual
ALYSHA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 W CORPORATE WAY # 13915, ANAHEIM, CA 92801-5373
(562) 219-2771
Mailing address
1950 W CORPORATE WAY # 13915, ANAHEIM, CA 92801-5373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120515
CA
1041C0700X
Clinical Social Worker
96701
CA
Other
Enumeration date
08/16/2018
Last updated
12/11/2024
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