Individual
MR. ROBERT GRANT KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
17 12TH AVE S, SUITE 204, NAMPA, ID 83651-3952
(208) 463-9450
(208) 465-9072
Mailing address
17 12TH AVE S STE 204, NAMPA, ID 83651-3952
(208) 463-9450
(208) 465-9072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-24802
ID
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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