Individual
MR. MARC C KING
Active
Individual
MR. MARC C KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW0000009067
TN
104100000X
Social Worker
M8249
MS
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770099
AMERICAN PUBLIC LIFE INSURANCE COMPANY
MS
01
—
YAQ 868404380M
BLUECROSS BLUESHIELD
MS
Enumeration date
01/04/2007
Last updated
02/28/2019
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