Individual
DONG HEE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6301 MARY TODD CT, CENTREVILLE, VA 20121-3546
(703) 581-8230
Mailing address
6301 MARY TODD CT, CENTREVILLE, VA 20121-3546
(703) 581-8230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
088109
NY
1041C0700X
Clinical Social Worker
0904010943
VA
Other
Enumeration date
07/11/2019
Last updated
09/16/2021
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