Individual
DOMONIC SEAN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 S ZACK HINTON PKWY, MCDONOUGH, GA 30253-3335
(678) 432-3330
Mailing address
111 SYCAMORE WALK, STOCKBRIDGE, GA 30281-7210
(951) 858-5055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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