Individual
MRS. LAWANDA ANGEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
415 GIBSON LN, RICHMOND, KY 40475-2577
(180) 092-8800
Mailing address
415 GIBSON LN, RICHMOND, KY 40475-2577
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2069
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
01/11/2007
Last updated
09/30/2015
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