Individual
JEFFREY LEGRAND KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSCSW,CSAT
Contact information
Practice address
414 N MAIN ST STE 200, NEWTON, KS 67114-2226
(316) 288-6305
Mailing address
414 N MAIN ST STE 200, NEWTON, KS 67114-2226
(316) 288-6305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3836
KS
Other
Enumeration date
01/13/2006
Last updated
01/06/2010
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