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Individual
MISS NAKYUNG IM
Active
Individual
MISS NAKYUNG IM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW,,LADC1,IABMCP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103115
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012700
VALUEOPTIONS
MA
05
—
1858572
—
MA
05
—
1898256
—
MA
01
—
2040351
CIGNA HEALTH
MA
01
—
239881
PRIVATE HEALTH CARE SYSTE
MA
01
—
249058
TRICARE
MA
01
—
4504465
AETNA HEALTH CARE
MA
01
—
62-03541
UNITED BEHAVIOR HEALTH
MA
01
—
724940
TUFTS HEALTH PLAN
MA
01
—
831200
FIRST HEALTH GROUP CORP.
MA
01
—
P03698
BLUECROSSBLUESHIELD
MA
01
—
S024286
CHAMPUS
MA
Enumeration date
03/01/2007
Last updated
07/09/2007
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