Individual
JOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
(612) 979-2276
(651) 925-0427
Mailing address
901 LAHINCH CIR, RICHARDSON, TX 75081-5140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
106834
TX
1041C0700X
Clinical Social Worker
Primary
27753
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106834
TEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS
TX
01
—
27753
MINNESOTA BOARD OF SOCIAL WORK
MN
Enumeration date
02/08/2022
Last updated
10/29/2024
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