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NPI Code Detail

MEDICARE: MICHELLE KING LCSW

MEDICARE: MICHELLE KING LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW.09924972CO

General Provider Information

NPI Number : 1598186728
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE KING LCSW
Provider Business Mailing Address
First Line : 3090 N 12TH STREET
Second Line : UNIT B
City : GRAND JUNCTION
State : CO
Zip : 81506-2804
Country : US
Telephone Number : 970-241-2212
Fax Number : 970-257-2401
Provider Business Practice Location Address
First Line : 3090 N 12TH STREET
Second Line : UNIT B
City : GRAND JUNCTION
State : CO
Zip : 81506-2804
Country : US
Telephone Number : 970-241-2212
Fax Number : 970-257-2401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2013
Last Update Date : 01/31/2020

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Directions to “ MICHELLE KING LCSW” Practice Location

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