Individual
ANNETTE COLLEEN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
731 JAMES ST, SUITE 223, SYRACUSE, NY 13203-2039
(315) 708-9040
Mailing address
126 ARSENAL DR, SYRACUSE, NY 13205-2801
(315) 415-3116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R053890-1
NY
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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