Individual
GRACE S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
26 CENTRAL ST, SOMERVILLE, MA 02143-2827
(617) 575-5355
Mailing address
26 CENTRAL ST, SOMERVILLE, MA 02143-2827
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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