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Individual

BEVERLY JO KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CADC

Contact information

Practice address
1001 S BRADFORD ST, STE #8, DOVER, DE 19904-4153
(302) 678-3480
(302) 734-3299
Mailing address
1001 S BRADFORD ST, STE #8, DOVER, DE 19904-4153
(302) 678-3480
(302) 734-3299

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0000659
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000035484
DE
Enumeration date
03/06/2007
Last updated
07/09/2007
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