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MRS. MI KYOUNG HARGROVE LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1043749427

Individual Registrant:
MRS. MI KYOUNG HARGROVE LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
24979 CONSTITUTION AVE APT 1021 STEVENSON RANCH, CA 91381 US
Tel: (56-2) -400-4292  Fax: --

Contact information for business:
24979 CONSTITUTION AVE APT 1021  VALENCIA, CA 91381-1745 US
Tel: 562-400-4292  Fax: --

Registration Information:
NPI: 1043749427
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CA76023

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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