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1558434035
KIM KHAZENI
TUSTIN, CA
NPI
1558434035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LS12335)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Ms. KIM KHAZENI MSW
14751 PLAZA DR SUITE F
TUSTIN, CA 92780-2702
Phone number: 949-509-3041
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Mailing Address
Ms. KIM KHAZENI MSW
14751 PLAZA DR SUITE F
TUSTIN, CA 92780-2702
Phone number: 949-509-3041
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