Individual
GLORIA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 W 34TH ST FL 11, NEW YORK, NY 10001-2320
(212) 273-6182
Mailing address
60 E LINDEN AVE APT 3B, ENGLEWOOD, NJ 07631-3650
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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