Most Relevant Information
Provider Data
| NPI Number: | 1003032244 |
| Provider Name: | JACQUELINE M. KIM LICSW, MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LW60144182 |
Most Important Dates
| Enumeration Date: | 04/17/2007 |
| Last Updated: | 04/11/2022 |
Provider Practice Location
325 9TH AVE
BOX 359760
SEATTLE
WA
981042420
Practice Location Phone/Fax
| Phone: | 2067448511 |
| Fax: | 2067442032 |
Provider Mailing Location
325 9TH AVE
BOX 359760
SEATTLE
WA
981042420
Provider Mailing Phone/Fax
| Phone: | 2067448511 |
| Fax: | 2067442032 |