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1437901113
JIYOUNG WITTEMORE KIM
FOUNTAIN VALLEY, CA
NPI
1437901113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT144043)
Enumeration Date
2024-04-04
Last Update Date
2024-04-04
Business Address
JIYOUNG WITTEMORE KIM
18837 BROOKHURST ST STE 102
FOUNTAIN VALLEY, CA 92708-7301
Phone number: 562-314-9890
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Mailing Address
JIYOUNG WITTEMORE KIM
411 SHADOW OAKS
IRVINE, CA 92618-4096
Phone number: 626-344-4891
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