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Organization
GLORIA RIVERA KING, PH.D.
Active
Organization
GLORIA RIVERA KING, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA KING PH.D. (OWNER)
(321) 956-9477
Entity
Organization
Contact information
Practice address
2328 MEDICO LN, MELBOURNE, FL 32940-7406
(321) 956-9477
Mailing address
2328 MEDICO LN, MELBOURNE, FL 32940-7406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH5380
FL
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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