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Individual

INNAE JULIA KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6 E 39TH ST STE 602, NEW YORK, NY 10016-0123
(201) 580-3551
Mailing address
6 E 39TH ST STE 602, NEW YORK, NY 10016-0123
(201) 580-3551

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002518
NY

Other

Enumeration date
02/19/2019
Last updated
11/04/2024
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