Individual
KACEY REIKO CHRISTINA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 PRIVATE DRIVE 1130, ESPANOLA, NM 87532-3530
(808) 557-4300
Mailing address
65 PRIVATE DRIVE 1130, ESPANOLA, NM 87532-3530
(808) 557-4300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
09/21/2025
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