Individual
MRS. OLIVIA W KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1212
KY
1041C0700X
Clinical Social Worker
Primary
34003438A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000379073
ANTHEM BC AND BS
IN
Enumeration date
12/15/2006
Last updated
09/17/2008
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