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Individual

JOO KIM

Active
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Individual

JOO KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

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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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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