Individual
MRS. OLIVIA W KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
3701 BELLEMEADE AVE, EVANSVILLE, IN 47714-0137
(812) 479-1411
(812) 437-2636
Mailing address
3701 BELLEMEADE AVE, EVANSVILLE, IN 47714-0137
(812) 479-1411
(812) 437-2636
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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