Individual
MICHELLE LISA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
188 GODDARD RD, ATHENS, GA 30607-1604
(678) 203-8005
Mailing address
3550 WAKE ROBIN WAY, CUMMING, GA 30028-8138
(678) 203-8005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089.0134535
VT
1041C0700X
Clinical Social Worker
14137606-3501
UT
1041C0700X
Clinical Social Worker
Primary
CSW007194
GA
1041C0700X
Clinical Social Worker
LC23995
ME
Other
Enumeration date
01/05/2022
Last updated
01/09/2025
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