Individual
LORI E KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1190 PRAIRIE ST, PRAIRIE DU SAC, WI 53578-2044
(608) 370-6551
(608) 370-6554
Mailing address
233 SPRUCE ST, SAUK CITY, WI 53583-1039
(715) 790-3951
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9308-123
WI
Other
Enumeration date
03/06/2020
Last updated
12/03/2020
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