King, Mary Jane

King, Mary Jane is an individual health care provider with primary practice located at 401 West Thames Street Bldg 301 Southeastern Mental Health Authority, Norwich CT 06360. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. King, Mary Jane can be contacted via phone (860) 859-4674.

Contact Information

Primary practice address
401 West Thames Street Bldg 301 Southeastern Mental Health Authority Norwich CT 06360
Fax: (860) 859-4790
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 006226 Connecticut

Profile Details

NPI number 1679638993
LBN Legal business name King, Mary Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 18 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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