Kellie King, CSW-INTERN
NPI #1780199828 in Mountain Home Afb, Idaho
Provider Information
- NPI Number
- 1780199828
- Entity Type
- Individual
- Name
- Kellie King, CSW-INTERN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- CSW-INTERN
- Enumeration Date
- Dec 12, 2017
- Last Updated
- Jul 12, 2023
Practice Location
- Address
- 90 HOPE DR BLDG 6000
- State
- Idaho
- ZIP Code
- 83648-1062
- Phone
- (208) 828-7580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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