Individual
AILENE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW REGISTERED
Contact information
Practice address
17707 STUDEBAKER RD, CERRITOS, CA 90703-2640
(562) 402-0688
Mailing address
520 SO. LAFAYETTE PARK PLACE 3RD FLOOR, LA, CA 90057
(213) 252-2100
(213) 383-3146
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW21926
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/23/2006
Last updated
08/13/2007
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