Individual
JASON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10291 NORTH MERIDIAN STREET, 310, INDIANAPOLIS, IN 46290
(317) 672-1970
Mailing address
10291 NORTH MERIDIAN STREET, 310, INDIANAPOLIS, IN 46290
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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