Individual
KY NEIKE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
107 RUTGERS AVE APT E3, SWARTHMORE, PA 19081-1705
(240) 216-6999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021284
PA
Other
Enumeration date
01/05/2021
Last updated
01/18/2024
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