Provider Information for 1477179703
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KATHRYN KING LPC
Sex: Female
NPI: 1477179703
Last Updated: 2024-12-30
Certification Date: 2024-12-30
Certification Date: 2024-12-30
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1477179703 | ||||||||||||
| Enumeration Date | 2020-06-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 222 STONEBURG DR DUSON, LA 70529-3947 United States Phone: 985-859-9137 | Fax: | ||||||||||||
| Primary Practice Address | 222 STONEBURG DR DUSON, LA 70529-3947 United States Phone: 985-859-9137 | Fax: | ||||||||||||
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