King, Doris Elaine

King, Doris Elaine is an individual health care provider with primary practice located at 111 S Meramec Ave , Clayton MO 63105-1711. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. King, Doris Elaine can be contacted via phone (314) 679-7833.

Contact Information

Primary practice address
111 S Meramec Ave Clayton MO 63105-1711
Phone: (314) 679-7833
Fax: (314) 679-7846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001238 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1366692063
LBN Legal business name King, Doris Elaine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2008
Last updated Sep 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366692063 NPPES
Missouri MEDICAID 493397103

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