Individual
MISS JENNIFER LANE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-4310
(309) 344-4391
Mailing address
101 SILVER ST, GALESBURG, IL 61401-4141
(309) 344-4310
(309) 344-4391
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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