Individual
DR. GRACE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 E MEDA AVE STE 230, GLENDORA, CA 91741-2624
(626) 593-6306
Mailing address
915 W. FOOTHILL BLVD SUITE C #517, CLAREMONT, CA 91711
(626) 593-6306
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18558
CA
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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