Individual
JIWON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 442-4022
Mailing address
465 MEADOW RD APT 8203, PRINCETON, NJ 08540-6361
(314) 489-5332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP101789
MA
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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