INGRID CHUNG NISHIMOTO

NORTHRIDGE, CA
NPI1639642622
Former NameINGRID JAE KYUNG CHUNG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  LCSW102145)
Enumeration Date2019-01-02
Last Update Date2023-06-27
Business Address
INGRID CHUNG NISHIMOTO LCSW
9538 RHEA AVE
NORTHRIDGE, CA 91324
Phone number: 213-262-9134
Mailing Address
INGRID CHUNG NISHIMOTO LCSW
9018 BALBOA BLVD STE 536
NORTHRIDGE, CA 91325-2610
Phone number: 213-262-9134
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