Individual
MS. JARIVA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9245 CUANDET RD APT 96, GULFPORT, MS 39503-4763
(601) 867-1048
Mailing address
9245 CUANDET RD APT 96, GULFPORT, MS 39503-4763
(601) 867-1048
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M9627
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M9627
—
MS
Enumeration date
05/15/2020
Last updated
05/15/2020
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