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NPI Code Detail

MEDICARE: ROBIN GRAY KING MED, MSW, LGSW, IBHC

MEDICARE:   ROBIN GRAY KING  MED, MSW, LGSW, IBHC
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 Worker31063MN

General Provider Information

NPI Number : 1609765411
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN GRAY KING MED, MSW, LGSW, IBHC
Provider Business Mailing Address
First Line : 1325 KENNETH ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-2607
Country : US
Telephone Number : 651-243-0423
Fax Number :
Provider Business Practice Location Address
First Line : 1729 N 2ND ST STE 302
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-3448
Country : US
Telephone Number : 651-243-0423
Fax Number : 612-389-9637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2025
Last Update Date : 06/30/2025

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Directions to “ ROBIN GRAY KING MED, MSW, LGSW, IBHC” Practice Location

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