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1538811120
LEATHA NICOLE KING
WALPOLE, MA
NPI
1538811120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.017012)
Enumeration Date
2022-01-25
Last Update Date
2022-01-25
Business Address
LEATHA NICOLE KING LPC
869 MAIN ST STE 6B
WALPOLE, MA 02081-2985
Phone number: 781-269-9788
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Mailing Address
LEATHA NICOLE KING LPC
4236 WASHINGTON ST APT 408
BOSTON, MA 02131-2653
Phone number: 661-718-5718
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