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Individual

MRS. DEBRA H KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW, TLAC

Contact information

Practice address
1739 E 23RD ST, LAWRENCE, KS 66046-5017
(785) 830-8238
(785) 830-8246
Mailing address
4601 WOODLAND DR, LAWRENCE, KS 66049-4618
(785) 842-2875

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1004
KS
1041C0700X
Clinical Social Worker
Primary
3708
KS

Other

Enumeration date
12/08/2006
Last updated
03/11/2013
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