Individual
MRS. SUN MI LEE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 DEERCREST DR, HOLMDEL, NJ 07733-1912
(732) 232-1023
(732) 367-5910
Mailing address
14 DEERCREST DR, HOLMDEL, NJ 07733-1912
(732) 232-1023
(732) 367-5910
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11210520
NJ
235Z00000X
Speech-Language Pathologist
SL009320
PA
Other
Enumeration date
12/01/2008
Last updated
04/04/2012
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