Michael King Lcsw LLC

NPI #1578091252 in Jasper, Georgia

Provider Information

NPI Number: 1578091252
Entity Type: Organization
Organization Name: Michael King Lcsw LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 25, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 201 COVE RD
City: Jasper
State: Georgia
ZIP Code: 30143-1356
Phone: (706) 253-9515

Authorized Official

Name: MICHAEL ESTEL KING, LCSW
Title: SOLE PROPRIETOR
Phone: (706) 669-3526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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