Individual
MS. CAROLYN J. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
200 BOOTH ST., UPPER BAY COUNSELING, ELKTON, MD 21921
(410) 996-5104
(410) 996-5725
Mailing address
1275B W PULASKI HWY, ELKTON, MD 21921-4719
(410) 620-7161
(410) 620-7168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09890
MD
1041C0700X
Clinical Social Worker
Q1-0000429
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
922801200
—
MD
Enumeration date
10/09/2008
Last updated
02/25/2020
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