Individual
MR. ANTHONY J. KING SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
17352 W 12 MILE RD, SUITE 100, SOUTHFIELD, MI 48076-2119
(248) 559-0730
Mailing address
11319 SEMINOLE, REDFORD, MI 48239-2375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008092
MI
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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