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Individual

JOANNE KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
4414 5TH ST NW, WASHINGTON, DC 20011-4723
(202) 944-0094
Mailing address
71 O ST NW, WASHINGTON, DC 20001-1258

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC14439
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101Y00000X
DC
Enumeration date
09/07/2019
Last updated
09/07/2019
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