Individual
MS. LUCIE ANN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
191 PINE DRIVE, STATELINE, NV 89449
(775) 588-3762
Mailing address
PO BOX 11280, ZEPHYR COVE, NV 89448-3280
(775) 588-3762
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01853-C
NV
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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