Kyung Soo Park
Kyung Soo Park is a Social Worker in Stockton, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
1212 N California StStockton, CA 95202-1552
Phone: (707) 299-2101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence ASW95613 (CA) |
|---|
Record details
| NPI number | 1013493436 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 18, 2018 |
| Last updated in NPPES | October 14, 2020 |
| Certification date | October 14, 2020 |
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