Individual
JIMIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 SEWARD SQ SE, WASHINGTON, DC 20003-6104
(443) 690-5857
Mailing address
2204 BARNET CT, WOODSTOCK, MD 21163-1438
(443) 742-6696
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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