Individual
ASHLEY MAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
26 QUEEN ST, WORCESTER, MA 01610
(508) 860-7930
Mailing address
26 QUEEN ST, WORCESTER, MA 01610-2478
(508) 860-7930
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1121117
BOARD OF REGISTRATION OF SOCIAL WORK
MA
Enumeration date
09/23/2020
Last updated
02/19/2025
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