Individual
MRS. THERESA LOUISE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, RPT
Contact information
Practice address
6112 BROAD ST, BETHESDA, MD 20816-2614
(301) 263-9155
Mailing address
8720 GEORGIA AVE STE 808, SILVER SPRING, MD 20910-3602
(301) 263-9155
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC1294
MD
Other
Enumeration date
06/14/2008
Last updated
06/14/2008
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