Individual
MRS. JUDY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
202 NW STR STR 1, AVA, MO 65608
(417) 543-5737
Mailing address
RR 7 BOX 7465, AVA, MO 65608-9787
(417) 543-5737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013038290
MO
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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