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Individual
MR. KWANG IL KIM
Active
Individual
MR. KWANG IL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2995
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A2995
OREGON BOARD OF LICENSED SOCIAL WORKERS
OR
Enumeration date
08/29/2018
Last updated
08/29/2018
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