Individual
TABATHA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
111 ELKINS ST, FAIRMONT, WV 26554-4021
(681) 404-3777
Mailing address
111 ELKINS ST, FAIRMONT, WV 26554-4021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
BP00946364
WV
Other
Enumeration date
03/25/2025
Last updated
04/06/2026
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