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1912202235
KRISTELLE MYUNG KWAK-REID
VAN NUYS, CA
NPI
1912202235
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Former Name
KRIS, MYUNG HEE KWAK-REID
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 27002)
Enumeration Date
2011-01-18
Last Update Date
2011-01-18
Business Address
-- KRISTELLE MYUNG KWAK-REID LCSW
6551 VAN NUYS BLVD SUITE 201
VAN NUYS, CA 91401-1442
Phone number: 818-988-6335
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Mailing Address
-- KRISTELLE MYUNG KWAK-REID LCSW
12810 WOODLEY AVENUE
GRANADA HILLS, CA 91344
Phone number: 562-301-5262
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