Individual
MR. GREGORY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1250 E MARSHALL ST, PSYCHIATRY, RICHMOND, VA 23298-5051
(804) 628-8525
(804) 828-4614
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007680
VA
Other
Enumeration date
07/07/2014
Last updated
09/30/2014
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