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Individual

HEATHER MARIE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
5647 MAYBERRY SQ E, SYLVANIA, OH 43560-9456
(419) 482-8277
Mailing address
500 LEHMAN AVE STE 12, BOWLING GREEN, OH 43402-3087

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1901616
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14407236
CAQH
Enumeration date
01/22/2018
Last updated
07/27/2020
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