Individual
MATTHEW JAY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5151 MONROE ST STE 204, TOLEDO, OH 43623-3467
(419) 865-5690
Mailing address
5604 WHITEFORD RD, SYLVANIA, OH 43560-2526
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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