KISTIYAPORN KERATISOMPHON

SANTA ANA, CA
NPI1417668344
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  ASW111234)
Enumeration Date2022-12-12
Last Update Date2023-10-30
Business Address
KISTIYAPORN KERATISOMPHON ACSW
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: 714-834-3101
Mailing Address
KISTIYAPORN KERATISOMPHON ACSW
9417 NAGLE AVE
ARLETA, CA 91331-5914
Phone number: 818-818-1600
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