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1003945783
MIA Y KIM
COVINA, CA
NPI
1003945783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMFT 50477)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- MIA Y KIM M.S.
560 S SAN JOSE AVE
COVINA, CA 91723-3144
Phone number: 626-967-5103
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Mailing Address
-- MIA Y KIM M.S.
1738 FEDERAL AVE APT 1
LOS ANGELES, CA 90025-4182
Phone number: 310-477-1590
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