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Individual
MRS. HEATHER MONTFORD KING
Active
Individual
MRS. HEATHER MONTFORD KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MCAP100896
FL
1041C0700X
Clinical Social Worker
Primary
SW11083
FL
251B00000X
Case Management Agency
CBHCM.0102795-P
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100362600
—
FL
Enumeration date
11/30/2012
Last updated
10/06/2022
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