Kistiyaporn Keratisomphon, ACSW
Kistiyaporn Keratisomphon, ACSW is a Clinical Social Worker in Santa Ana, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
405 W 5th StSanta Ana, CA 92701-4599
Phone: (714) 834-3101
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence ASW111234 (CA) |
|---|
Record details
| NPI number | 1417668344 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ACSW |
| Sole proprietor | Yes |
| NPI enumerated | December 12, 2022 |
| Last updated in NPPES | October 30, 2023 |
| Certification date | October 30, 2023 |
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