Individual
REBECCA ANNE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
225 STONEHENGE CIR, PROVIDENCE, UT 84332-9200
(801) 718-3987
Mailing address
PO BOX 446, PROVIDENCE, UT 84332-0446
(801) 718-3987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3442913501
UT
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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