Individual
HAELY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
104 MOREHOUSE RD, EASTON, CT 06612-2100
(718) 490-6563
Mailing address
104 MOREHOUSE RD, EASTON, CT 06612-2100
(718) 490-6563
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
084966
NY
1041C0700X
Clinical Social Worker
12430
CT
Other
Enumeration date
09/30/2009
Last updated
06/14/2024
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