Individual
JAMIE LEE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2733 S RIDGE RD, GREEN BAY, WI 54304-5513
(920) 497-6200
Mailing address
2733 S RIDGE RD, GREEN BAY, WI 54304-5513
(920) 497-6200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
130919
WI
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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