Individual
BOUREE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 PARK COURT PL BLDG H, SANTA ANA, CA 92701-5028
(714) 957-1004
Mailing address
1801 PARK COURT PL BLDG H, SANTA ANA, CA 92701-5028
(714) 957-1004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
69743
CA
Other
Enumeration date
03/29/2013
Last updated
11/08/2019
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