Individual
SASHA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E 4TH ST STE 250, FORT WORTH, TX 76102-4078
(817) 381-6991
Mailing address
1414 WHISPERING OAKS DR, MIDLOTHIAN, TX 76065-5093
(409) 201-8301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
96670
TX
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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