Individual
MS. DORIS MAE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
RR 2 BOX 357, CHARLESTON, WV 25314-9733
(304) 881-2975
Mailing address
PO BOX 385, DUNBAR, WV 25064-0385
(304) 881-2975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1879
WV
104100000X
Social Worker
AP00940294
WV
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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