TAE KIM

APO, AP
NPI1568938561
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: HI  4325)
Enumeration Date2018-10-17
Last Update Date2018-10-17
Business Address
TAE KIM LCSW
BLD S370 CAMP HUMPHREYS BEHAVIORAL HEALTH CLINIC
APO, AP 96251-0016
Phone number: 315-737-5803
Mailing Address
TAE KIM LCSW
PSC 333 BOX 1551
APO, AP 96251-0016
Phone number: