Individual
JAACE KOREERAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 W GUINIDA LN, ANAHEIM, CA 92805-6101
(714) 517-8950
Mailing address
1931 PAGE AVE, FULLERTON, CA 92833-4435
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
110757
CA
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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