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1821008137
ALICE KIM
HERNDON, VA
NPI
1821008137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904006192)
Enumeration Date
2006-08-09
Last Update Date
2009-04-16
Business Address
-- ALICE KIM M.S.W., L.C.S.W.
453 CARLISLE DR SUITE 104
HERNDON, VA 20170-5611
Phone number: 703-939-1625
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Mailing Address
-- ALICE KIM M.S.W., L.C.S.W.
453 CARLISLE DR SUITE 104
HERNDON, VA 20170-5611
Phone number: 703-939-1625
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