Individual
IRENE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3585 KATHERINE WAY, FREDERICK, MD 21704-7023
(240) 423-4973
Mailing address
3585 KATHERINE WAY, FREDERICK, MD 21704-7023
(240) 423-4973
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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