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EMILY KING

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1790197119

Individual Registrant:
 EMILY  KING 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
501 MIZE ST  LA FAYETTE, GA 30728-3346 US
Tel: 706-806-1120  Fax: --

Contact information for business:
PO BOX 179  APISON, TN 37302-0179 US
Tel: 937-205-8689  Fax: --

Registration Information:
NPI: 1790197119
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
GAAPC004370

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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