Individual
CAROLINE S KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 MARIA DR, HILLSDALE, NJ 07642-1345
(201) 615-8459
Mailing address
11 MARIA DR, HILLSDALE, NJ 07642-1345
(201) 615-8459
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05189300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061468
—
NJ
Enumeration date
05/07/2007
Last updated
07/09/2007
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