Individual
BO JACQUELYN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 PLEASANT AVE, HAMILTON, OH 45015-1133
(513) 867-5650
(513) 867-5669
Mailing address
2100 PLEASANT AVE, HAMILTON, OH 45015-1133
(513) 867-5650
(513) 867-5669
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
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