Individual
LORD J. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
35 S JOHNSON ST STE 3C, PONTIAC, MI 48341-1662
(248) 333-7222
Mailing address
100 RIVER PLACE DR STE 250, DETROIT, MI 48207-5402
(313) 871-2337
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6801089766
MI
1041C0700X
Clinical Social Worker
6801089766
MI
Other
Enumeration date
09/21/2016
Last updated
02/24/2020
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