Individual
SUNGMIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3594 S 3610 E, SALT LAKE CITY, UT 84109-3276
(801) 696-1220
Mailing address
3594 S 3610 E, SALT LAKE CITY, UT 84109-3276
(801) 696-1220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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