Individual
MR. MICHAEL SW KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1165 E 300 N, PROVO, UT 84606-3539
(801) 377-1213
Mailing address
608 CUTLER AVE, SPRINGVILLE, UT 84663-1555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5319831-3501
UT
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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