Provider Information for 1760842702
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MARAMONIE KING LCMHC, PsyD, MS
Sex: Female
NPI: 1760842702
Last Updated: 2024-11-26
Certification Date: 2024-11-26
Certification Date: 2024-11-26
Details
| Name | Value | ||||||||
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| NPI | 1760842702 | ||||||||
| Enumeration Date | 2016-03-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3050 TOWN HILL RD WOLCOTT, VT 05680-3109 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 3050 TOWN HILL RD WOLCOTT, VT 05680-3109 United States Phone: 732-687-1725 | Fax: | ||||||||
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