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1063994721
KWANG IL KIM
PORTLAND, OR
NPI
1063994721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR A2995)
Enumeration Date
2018-08-29
Last Update Date
2018-08-29
Business Address
Mr. KWANG IL KIM MSW
322 NW 5TH AVE STE 301B
PORTLAND, OR 97209-3828
Phone number: 503-432-0333
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Mailing Address
Mr. KWANG IL KIM MSW
PO BOX 1866
VANCOUVER, WA 98668-1866
Phone number: 503-432-0333
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