Individual
KIM EILEEN STIVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 NEW YORK AVE NE FL 3, WASHINGTON, DC 20002-3328
(202) 673-2200
Mailing address
6210 CRATHIE LN, BETHESDA, MD 20816-1004
(240) 472-1575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50080368
DC
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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