Individual
JENNIFER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
200 I ST SE, WASHINGTON, DC 20003-3317
(202) 727-4826
Mailing address
5812 BRIDGETOWN CT, BURKE, VA 22015-2809
(703) 239-0330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007544
VA
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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