Individual
ALICE J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
101 MAIN ST, SUITE 112, MEDFORD, MA 02155-4540
(781) 338-7270
(781) 396-5086
Mailing address
101 MAIN ST, SUITE 112, MEDFORD, MA 02155-4540
(781) 338-7270
(781) 396-5086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111412
MA
Other
Enumeration date
08/03/2006
Last updated
04/10/2013
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