Individual
ANNA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 N INDIAN HILL BLVD STE C1-200, CLAREMONT, CA 91711-4667
(909) 333-7434
(909) 503-0603
Mailing address
101 N INDIAN HILL BLVD STE C1-200, CLAREMONT, CA 91711-4667
(909) 333-7434
(909) 503-0603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW76218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW76218
LCSW LICENSE
CA
Enumeration date
07/07/2021
Last updated
07/07/2021
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