Individual
MS. LEE GAIL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
61 MEDFORD ST, SOMERVILLE, MA 02143-3421
(617) 629-3919
(617) 629-4644
Mailing address
2035 COMMONWEALTH AVE, 3, BRIGHTON, MA 02135-5145
(617) 782-0452
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
206691
MA
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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