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1255797965
CHARLES KING
ALEXANDRIA, LA
NPI
1255797965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 1029)
Enumeration Date
2016-01-11
Last Update Date
2016-01-11
Business Address
Dr. CHARLES KING Ph.D. LAC
3746 GOVERNMENT ST STE 8
ALEXANDRIA, LA 71302-3252
Phone number: 318-787-6612
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Mailing Address
Dr. CHARLES KING Ph.D. LAC
3746 GOVERNMENT ST STE 8
ALEXANDRIA, LA 71302-3252
Phone number: 318-787-6612
Copy
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