Individual
CARLA LISSET SHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
940 AVENUE 64, PASADENA, CA 91105
(323) 254-2274
(323) 254-9087
Mailing address
940 AVENUE 64, PASADENA, CA 91105
(323) 254-2274
(323) 254-9087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW26575
CA
Other
Enumeration date
07/21/2009
Last updated
05/02/2014
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