Kim, Stacey

Kim, Stacey is an individual health care provider with primary practice located at 600 N Jordan Ave Indiana University Counseling And Psychological Service, Bloomington IN 47405-3190. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Kim, Stacey can be contacted via phone (812) 855-5711.

Contact Information

Primary practice address
600 N Jordan Ave Indiana University Counseling And Psychological Service Bloomington IN 47405-3190
Phone: (812) 855-5711
Fax: (812) 855-8447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 33005674A Indiana

Profile Details

NPI number 1841525565
LBN Legal business name Kim, Stacey
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2009
Last updated Oct 14th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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