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Individual

ANNA J KING I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2111 S WABASH AVE, CHICAGO, IL 60616-1782
(612) 670-4040
Mailing address
1849 WOODSTONE DR, VICTORIA, MN 55386-9635
(612) 670-4040

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
MN

Other

Enumeration date
05/16/2026
Last updated
05/16/2026
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