Individual
DIANE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6137 SPRINGVALE DR, LOS ANGELES, CA 90042-2017
(512) 919-6043
Mailing address
6137 SPRINGVALE DR, LOS ANGELES, CA 90042-2017
(512) 919-6043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108561
NY
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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