Individual
DAEUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
386 W MAIN ST, NORTHBOROUGH, MA 01532-2128
(855) 222-7980
Mailing address
386 W MAIN ST, NORTHBOROUGH, MA 01532-2128
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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