Individual
JULIE KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
31681 RIVERSIDE DR, SUITE L, LAKE ELSINORE, CA 92530-7815
(951) 674-9243
Mailing address
31681 RIVERSIDE DR, SUITE L, LAKE ELSINORE, CA 92530-7815
(951) 674-9243
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24887
CA
Other
Enumeration date
09/09/2009
Last updated
12/20/2010
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