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Individual
ELIZABETH KIM
Active
Individual
ELIZABETH KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
090094
NY
Other
Enumeration date
09/09/2015
Last updated
07/25/2022
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