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Individual

LILA KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGSW

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

Other

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