Individual
MRS. PENELOPE A KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LCADC
Contact information
Practice address
540 BORDENTOWN AVE, SOUTH AMBOY, NJ 08879-1546
(732) 721-1000
Mailing address
22 DORADO CT, OLD BRIDGE, NJ 08857-3049
(862) 202-9772
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00301800
NJ
104100000X
Social Worker
Primary
44SL06733800
NJ
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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