Individual
CHI EON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 REA AVE, HAWTHORNE, NJ 07506
(201) 523-4048
Mailing address
19 E HARWOOD TER UNIT A, PALISADES PARK, NJ 07650-1424
(551) 486-8239
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05883800
NJ
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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