Organization
KAITLIN KING, LLC.
Active
Other names
Kaitlin King
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIANA-MARIE VAUGHN (CREDENTIALING COORDINATOR)
(812) 345-3055
Entity
Organization
Contact information
Practice address
408 E. DODDS, BLOOMINGTON, IN 47401-4819
(812) 287-3616
Mailing address
408 E. DODDS, BLOOMINGTON, IN 47401-4819
(812) 287-3616
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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