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1568938561
TAE KIM
APO, AP
NPI
1568938561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: HI 4325)
Enumeration Date
2018-10-17
Last Update Date
2018-10-17
Business Address
TAE KIM LCSW
BLD S370 CAMP HUMPHREYS BEHAVIORAL HEALTH CLINIC
APO, AP 96251-0016
Phone number: 315-737-5803
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Mailing Address
TAE KIM LCSW
PSC 333 BOX 1551
APO, AP 96251-0016
Phone number:
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