Individual
LAUREN MARIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 498-5464
Mailing address
4 MANOMET ST, BROCKTON, MA 02301-5021
(617) 304-0647
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
01/25/2021
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