Individual
JIN SUK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 E SHIRLEY AVE, WARRENTON, VA 20186-3725
(540) 422-7100
Mailing address
7716 LAFAYETTE FOREST DR APT 31, ANNANDALE, VA 22003-6347
(571) 212-2984
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0607570
VA
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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