Individual
DORIS ELAINE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 S MERAMEC AVE, CLAYTON, MO 63105-1711
(314) 679-7833
(314) 679-7846
Mailing address
111 S MERAMEC AVE, CLAYTON, MO 63105-1711
(314) 679-7833
(314) 679-7846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001238
MO
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493397103
—
MO
Enumeration date
09/30/2008
Last updated
09/30/2008
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