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Individual
M COLLEEN KING
Active
Individual
M COLLEEN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW CADC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.014503
IL
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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