Individual
MR. ERNEST WADE KING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 MILLBRANCH RD, HATTIESBURG, MS 39402-1672
(601) 255-5264
Mailing address
309 ROBIN DR, HATTIESBURG, MS 39402-9218
(601) 255-5264
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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