Individual
MRS. KIM DAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
1836 BLAINE TER, WINTER PARK, FL 32792-1768
(407) 539-2336
(407) 644-7967
Mailing address
197 E FLOYD AVE, LAKE MARY, FL 32746-2823
(407) 321-6428
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
07/09/2007
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