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Individual

MR. THOMAS EDWARD KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
3820 CLEVELAND AVE N, SUITE 400, ARDEN HILLS, MN 55112-3285
(651) 389-4402
(651) 389-4410
Mailing address
3820 CLEVELAND AVE N, SUITE 400, ARDEN HILLS, MN 55112-3285
(651) 389-4402
(651) 389-4410

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
05391
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6272579
UNITED BEHAVIORAL HEALTH
MN
01
79B37KI
BLUE CROSS/BLUE SHIELD
MN
01
HP23667
HEALTH PARTNERS
MN
Enumeration date
09/21/2006
Last updated
07/08/2007
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