Individual
CHANTELL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-3000
(734) 544-6732
Mailing address
555 TOWNER ST, POB 915, YPSILANTI, MI 48198-5752
(734) 544-3000
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802088264
MI
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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