Individual
CANDIS KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3310 SHARP DR., CHAMPAIGN, IL 61822
(217) 390-6554
Mailing address
3310 SHARP DR., CHAMPAIGN, IL 61822
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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