Individual
EMILY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MIZE ST, LA FAYETTE, GA 30728-3346
(706) 806-1120
Mailing address
PO BOX 179, APISON, TN 37302-0179
(937) 205-8689
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC004370
GA
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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