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Individual

GRACE KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
235 E PONCE DE LEON AVE STE 330, DECATUR, GA 30030-3754
(470) 601-7870
Mailing address
235 E PONCE DE LEON AVE STE 330, DECATUR, GA 30030-3754
(470) 601-7870

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006837
GA
1041C0700X
Clinical Social Worker

Other

Enumeration date
11/06/2021
Last updated
03/01/2024
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