Individual
MS. LISA ANN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.I.S.W.
Contact information
Practice address
673 WESTBURY DRIVE, SUITE 201, IOWA CITY, IA 52245-2723
(319) 356-6352
(319) 358-2367
Mailing address
673 WESTBURY DRIVE, SUITE 201, IOWA CITY, IA 52245-2723
(319) 356-6352
(319) 358-2367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
O5673
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225545000
—
IA
Enumeration date
03/08/2006
Last updated
05/02/2011
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