KEVIN ROBERT KING

SYRACUSE, NY
NPI1134208812
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R038655-1)
Enumeration Date2006-11-03
Last Update Date2007-07-08
Business Address
Mr. KEVIN ROBERT KING LCSW-R
520 CEDAR ST OCDMH DAY TREATMENT PROGRAM FOR CHILDREN
SYRACUSE, NY 13210-2302
Phone number: 315-435-7703
Mailing Address
Mr. KEVIN ROBERT KING LCSW-R
7486 RIVER RD
BALDWINSVILLE, NY 13027-9450
Phone number: 315-435-7703