Individual
ANDREA LEE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 W CARROL ST, KENTON, OH 43326-1202
(419) 673-0775
Mailing address
8400 COUNTY ROAD 5, WEST LIBERTY, OH 43357-9395
(419) 674-3158
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OS1013588
OH
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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