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Individual

MRS. HATTIE J KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2305 OLD COUNTY RD, POCHONTAS, AR 72455-4148
(870) 892-1005
(870) 892-0078
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72405-7870
(870) 933-6886
(870) 336-1339

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
10124-M
AR
104100000X
Social Worker
10124-M
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/16/2019
Last updated
10/18/2023
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