Individual
RANDALL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 DONHAM PLZ, MIDDLETOWN, OH 45042-1932
(513) 423-0781
Mailing address
1 DONHAM PLZ, MIDDLETOWN, OH 45042-1932
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
OH
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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