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Individual

MYUNG JIN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9378 OLIVE BLVD STE 317, SAINT LOUIS, MO 63132-3224
(314) 994-9344
(314) 994-3007
Mailing address
9378 OLIVE BLVD STE 317, SAINT LOUIS, MO 63132-3224
(314) 994-9344
(314) 994-3007

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2009036114
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2009036114
LPC, STATE OF MISSOURI
MO
Enumeration date
03/04/2010
Last updated
01/11/2013
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