Individual
DIANA LYNN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10700 BALLANTRAYE DR, STE 104, FREDERICKSBURG, VA 22407-4700
(540) 479-2211
(540) 301-0500
Mailing address
10700 BALLANTRAYE DR, STE 104, FREDERICKSBURG, VA 22407-4700
(540) 479-2211
(540) 301-0500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005637
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144491
KEY CARE, FEDERAL BC/BS
VA
01
—
73437800
MAGELLAN, VALUE OPTIONS
VA
01
—
M546
CAREFIRST
VA
Enumeration date
10/04/2006
Last updated
06/11/2012
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