Individual
MS. DIMA J GHISHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 254-2274
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 254-2274
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/08/2009
Last updated
06/14/2010
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