Individual
REGINA MICHELLE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8330 POTRANCO RD, SUITE 622, SAN ANTONIO, TX 78251-2989
(210) 430-2033
Mailing address
8330 POTRANCO RD, SUITE 622, SAN ANTONIO, TX 78251-2989
(210) 430-2033
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
54456
TX
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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