Individual
MR. KURT DOUGLAS KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1507
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801077172
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801077172
STATE OF MICHIGAN
MI
Enumeration date
01/23/2008
Last updated
02/16/2023
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