Individual
EDWIN KING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10001 LAKE FOREST BLVD, SUITE 615, NEW ORLEANS, LA 70127-6200
(504) 304-4285
Mailing address
10001 LAKE FOREST BLVD, SUITE 615, NEW ORLEANS, LA 70127-6200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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