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1477803781
MI KYONG KIM
SAN RAFAEL, CA
NPI
1477803781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA IMF 61859)
Enumeration Date
2012-09-13
Last Update Date
2012-09-13
Business Address
-- MI KYONG KIM
555 NORTHGATE DRIVE
SAN RAFAEL, CA 94903-3680
Phone number: 415-491-5700
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Mailing Address
-- MI KYONG KIM
5422 FULTON ST
SAN FRANCISCO, CA 94121
Phone number: 415-255-2531
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