Individual
MICHELLE NICOLE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 MARTIN AVE, HUDSON, WI 54016-7762
(612) 599-5331
Mailing address
757 MARTIN AVE, HUDSON, WI 54016-7762
(612) 599-5331
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
53783
CA
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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