Octavia L King

NPI #1588244925 in Ruther Glen, Virginia

Provider Information

NPI Number: 1588244925
Entity Type: Individual
Name: Octavia L King
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Apr 9, 2021
Last Updated: Apr 17, 2024

Practice Location

Address: 7232 PROCLAMATION DR
City: Ruther Glen
State: Virginia
ZIP Code: 22546-2456
Phone: (443) 248-1463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Case Manager/Care Coordinator	171M00000X

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