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1255363982
MICHAEL SW KING
PROVO, UT
NPI
1255363982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5319831-3501)
Enumeration Date
2006-07-06
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL SW KING LCSW
1165 E 300 N
PROVO, UT 84606-3539
Phone number: 801-377-1213
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Mailing Address
Mr. MICHAEL SW KING LCSW
608 CUTLER AVE
SPRINGVILLE, UT 84663-1555
Phone number:
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