Individual
MS. CHIQUITA MARIA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
330 S YORK ST, GASTONIA, NC 28052-4052
(704) 780-8539
Mailing address
2249 BLUE HAMPTON LN, CHARLOTTE, NC 28213-4944
(704) 780-8539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014326
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000023572617
—
NC
Enumeration date
03/09/2020
Last updated
03/09/2020
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