Individual
NATHAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
E7475 RAWHIDE RD, NEW LONDON, WI 54961-9025
(920) 981-6100
Mailing address
W6577 E MIDWAY RD APT 61, APPLETON, WI 54915-4861
(920) 540-1596
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132731-121
WI
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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