Individual
CANDACE TAEYUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2977
Mailing address
7800 ALLOTT AVE, VAN NUYS, CA 91402-6410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
65950
CA
Other
Enumeration date
06/19/2009
Last updated
11/27/2017
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