Individual
TINA MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(586) 257-3706
Mailing address
109 E MILLS ST, SANDUSKY, MI 48471-1327
(586) 257-3706
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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