Michael King, LCSW
Social Worker, Clinical in Bangor, ME. Individual provider (NPI-1).
NPI number1497039739
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1497039739
- Entity type
- Individual (NPI-1)
- Name
- Michael King
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2011
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LC15027 | ME | Yes |
Practice location
268 Stillwater AveBangor, ME 04401-3945
Phone 207-949-4836
Mailing address
268 Stillwater AveBangor, ME 04401-3945
Phone 207-949-4836
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