Individual
CLARA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12375 COUNTY ROAD 2030, ROLLA, MO 65401-7828
(573) 261-0837
Mailing address
12375 COUNTY ROAD 2030, ROLLA, MO 65401-7828
(573) 261-0837
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2021047637
MO
1041C0700X
Clinical Social Worker
Primary
2025049453
MO
Other
Enumeration date
01/19/2022
Last updated
11/18/2025
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