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Individual

DR. YOUNGSUK KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 CONSTITUTION PLZ STE 140, CHARLESTOWN, MA 02129-2025
(617) 899-5456
Mailing address
1 CONSTITUTION PLZ STE 140, CHARLESTOWN, MA 02129-2025
(617) 899-5456

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11390
MA
103TC0700X
Clinical Psychologist
PS01899
RI

Other

Enumeration date
11/10/2020
Last updated
01/29/2021
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