Individual
MICHAEL KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 949-4836
Mailing address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 949-4836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC15027
ME
Other
Enumeration date
10/05/2011
Last updated
09/10/2024
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