Individual
MINA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2716 SOUTH ST, PHILADELPHIA, PA 19146-2305
(267) 425-1140
Mailing address
2716 SOUTH ST RM 5291, PHILADELPHIA, PA 19146-2305
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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