Individual
CHRISTINA MARIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 S BROADWAY, GREEN BAY, WI 54303-1518
(920) 547-0161
Mailing address
330 S BROADWAY, GREEN BAY, WI 54303-1518
(920) 547-0161
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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