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Individual

MS. KATHLEEN M KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW, LCSW

Contact information

Practice address
222 COLUMBIA ST NW, OLYMPIA, WA 98501-8208
(971) 258-0851
Mailing address
PO BOX 2322, OLYMPIA, WA 98507-2322
(971) 258-0851

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4334
OR
1041C0700X
Clinical Social Worker
Primary
LW60938651
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2129935
WA
Enumeration date
09/22/2009
Last updated
06/29/2020
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