Individual
BO JACQUELYN KING
Active
Individual
BO JACQUELYN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2607910
OH
1041C0700X
Clinical Social Worker
Primary
S.2207517
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411615
—
OH
Enumeration date
01/23/2018
Last updated
03/16/2026
Update your record
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