Individual
AMANDA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
530 WASHINGTON BLVD APT 3E, OAK PARK, IL 60302-4063
(312) 479-3060
Mailing address
530 WASHINGTON BLVD APT 3E, OAK PARK, IL 60302-4063
(312) 479-3060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007854
IL
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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