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Individual

KATHLEEN POWELL KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW CP

Contact information

Practice address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-1040
Mailing address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-1040

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LISW CP 9594
SC

Other

Enumeration date
04/09/2008
Last updated
11/26/2012
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