Individual
CLARA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 FAIRFIELD LN, WAYNE, PA 19087-3106
(267) 767-6110
Mailing address
140 FAIRFIELD LN, WAYNE, PA 19087-3106
(267) 767-6110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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