Individual
MRS. KIJUNG BAE KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1620 ELTON RD, SUITE 204, SILVER SPRING, MD 20903-1740
(301) 439-7191
Mailing address
6520 MIDRA DR, LANHAM, MD 20706-3560
(240) 463-8965
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/10/2006
Last updated
08/07/2009
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