Individual
DALE E KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1405 E. GUADALUPE ROAD, TEMPE, AZ 85283
(480) 921-3314
(480) 967-0174
Mailing address
1405 E. GUADALUPE ROAD, TEMPE, AZ 85283
(480) 921-3314
(480) 967-0174
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-13472
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
816074
—
AZ
Enumeration date
01/05/2015
Last updated
06/04/2019
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