Organization
MICHAEL KING LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ESTEL KING LCSW (SOLE PROPRIETOR)
(706) 669-3526
Entity
Organization
Contact information
Practice address
201 COVE RD, JASPER, GA 30143-1356
(706) 253-9515
(706) 253-9516
Mailing address
201 COVE RD, JASPER, GA 30143-1356
(706) 253-9515
(706) 253-9516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006094
GA
Other
Enumeration date
05/25/2017
Last updated
03/17/2018
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