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Individual

LILA KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 533-1970
Mailing address
1131 EAGLETREE LN SW, HUNTSVILLE, AL 35801-6491

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1989G
AL
1041C0700X
Clinical Social Worker
1989G
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
330000014
AL
Enumeration date
01/07/2025
Last updated
06/04/2026
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