Individual
SHI KLEM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
1920 TRADD CT, WILMINGTON, NC 28401-6637
(910) 343-6890
(910) 332-1233
Mailing address
1920 TRADD CT, WILMINGTON, NC 28401-6637
(910) 343-6890
(910) 332-1233
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2519
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107078
—
NC
Enumeration date
11/15/2005
Last updated
07/08/2007
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