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Individual

DR. TERESA DENISE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
CSOSA / RE-ENTRY & SANCTIONS CENTER, 1900 MASSACHUSETTS AVENUE, BLDG. 17, WASHINGTON DC, DC 20003
(202) 345-6949
Mailing address
6107 HELLEN LEE DR, CLINTON, MD 20735-3430
(202) 534-2966

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2026
AL

Other

Enumeration date
12/22/2005
Last updated
05/02/2024
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